Management of Catamenial Hemoptysis

Diagnostic Evaluation

• The American Thoracic Society recommends tomography computarized of the chest in selected cases to rule out other causes of hemoptysis 1

Treatment Approach

• The American College of Chest Physicians suggests that initial stabilization in cases of massive or refractory hemoptysis should include ensuring the airway and optimizing oxygenation, considering endotracheal intubation with a single-lumen tube if necessary 2
• The American College of Chest Physicians recommends intervention bronchoscopy, including tamponade of the bleeding segment, instillation of cold saline solution, and use of bronchial blockade balloons if necessary 2
• The American Thoracic Society recommends embolization of the bronchial artery in cases of clinical instability 1
• It is recommended to suspend non-steroidal anti-inflammatory drugs during episodes of hemoptysis 1