Treatment of Heavy Menstrual Bleeding in ESRD Patients on Dialysis

Medication Management and Monitoring

• Medication reconciliation is critical in ESRD patients to identify any contributing factors that may exacerbate bleeding, such as anticoagulation needs related to dialysis 1
• Electrolyte monitoring is necessary in ESRD patients after any intervention, including ablation, to prevent electrolyte disturbances 1

Special Considerations in ESRD Population

• Anemia management is important in ESRD patients, and iron supplementation is nearly universal in hemodialysis patients receiving erythropoiesis-stimulating agents, but iron overload from excessive IV iron can occur and should be monitored 2
• A palliative care perspective may be appropriate for ESRD patients with severely limited life expectancy or poor quality of life, focusing on symptom management rather than definitive surgical intervention 3

Patient Care and Symptom Management

• Symptom burden assessment is necessary in ESRD patients, who have high physical symptom burden requiring ongoing palliative care approaches even after procedural interventions 3