{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:10:05Z","timestamp":1756293005020,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,12,30]]},"abstract":"<jats:p>A 35-year-old woman with a history of three previous caesarean sections was admitted with acute dysfunctional uterine bleeding (DUB) complicated by anaemia; she had a haemoglobin level of 5.3\u2005g\/dL, requiring multiple blood transfusions. Investigations performed excluded pelvic pathology and haematological causes for her acute DUB. Despite the use of various pharmacological agents, her bleeding persisted and she eventually underwent uterine artery embolisation (UAE) to arrest bleeding. She was well postprocedure and was discharged on combined oral contraceptives. However, she presented a year later with another episode of acute DUB that required a repeat UAE. This case report summarises the use of UAE in the management of acute DUB following failed medical therapy.<\/jats:p>","DOI":"10.1136\/bcr-2014-204446","type":"journal-article","created":{"date-parts":[[2015,1,16]],"date-time":"2015-01-16T12:34:51Z","timestamp":1421411691000},"page":"bcr2014204446","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Uterine artery embolisation for acute dysfunctional uterine bleeding with failed medical therapy: a novel approach to management"],"prefix":"10.1136","volume":"2015","author":[{"given":"Chye Lee","family":"Kho","sequence":"first","affiliation":[{"name":"Department of Obstetrics & Gynaecology, KK Women's & Children's Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynaecology, KK Women's & Children's Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,1,16]]},"reference":[{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.1","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1053\/beog.1999.0017","article-title":"Medical management of dysfunctional uterine bleeding","volume":"13","author":"Irvine","year":"1999","journal-title":"Baillieres Best Pract Res Clin Obstet Gynaecol"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.2","first-page":"285","article-title":"Use of intravenous Premarin in the treatment of dysfunctional uterine bleeding\u2014a double-blind randomised control study","volume":"59","author":"DeVore","year":"1982","journal-title":"Obstet Gynecol"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03500140075039"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.4","first-page":"CD001895","article-title":"Progestogens with or with oestrogen for irregular uterine bleeding associated with anovulation","volume":"9","author":"Hickey","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)80086-X"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.6","first-page":"CD000249","article-title":"Antifibrinolytics for heavy menstrual bleeding","volume":"4","author":"Lethaby","year":"2000","journal-title":"Cochrane Database Syst Rev"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.7","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000428646.67925.9a"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.01.049"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2006.10.015"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.10","doi-asserted-by":"publisher","DOI":"10.1097\/JPN.0b013e3181e8c994"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.11","unstructured":"National Institute for Health and Clinical Excellence. Uterine artery embolisation for fibroids [Internet]. 2010 [issued Nov 2010; cited Oct 2014]. http:\/\/www.nice.org.uk\/guidance\/ipg367\/resources\/guidance-uterine-artery-embolisation-for-fibroids-pdf"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02101-4"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.obstetgynecol.2003.07.007"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.14","doi-asserted-by":"crossref","first-page":"450.e1","DOI":"10.1016\/j.ajog.2011.06.106","article-title":"Efficacy and safety of global endometrial ablation after cesarean delivery: a cohort study","volume":"205","author":"Khan","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.15","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181c846eb"},{"key":"2025082703382591000_2015.jan16_1.bcr2014204446.16","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1095\/biolreprod11.2.205","article-title":"Anatomy of arteries and veins of uterus and ovaries in Rhesus monkeys","volume":"11","author":"Ginther","year":"1973","journal-title":"Biol Reprod"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204446","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:38:37Z","timestamp":1756291117000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,16]]},"references-count":16,"alternative-id":["10.1136\/bcr-2014-204446"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204446","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,1,16]]}}}