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Unformatted text preview: used. Fibroids may respond to hormonal treatment, and if they do not, then surgical removal may be required. NSAIDs such as mefenamic acid, naproxen, ibuprofen and diclofenac may help to reduce dysmenorrhoea and can also reduce blood lost in some people. Tranexamic acid, an antifibrinolytic, inhibits the dissolution of thrombosis that leads to menstrual flow. It can reduce flow by up to 50% although there is little correlation between the extent of reduced flow and patient satisfaction. In the few patients whose problems cannot be controlled by one of the above means, surgical procedures to remove fibroids and ablate areas of the endometrium are available but in recent years they have fallen in favour....
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