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Patient-Centered Approaches to Treating Menorrhagia: Insights from Qualitative Studies – Gynecology

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category-menorrhagia tag-heavy-menstrual-bleeding tag-levonorgestrel-releasing-intrauterine-system tag-menorrhagia tag-patient-centered-care tag-psychosocial-impact tag-qualitative-studies tag-reproductive-health tag-shared-decision-making" itemtype="https://schema.org/CreativeWork" itemscope> <div class="inside-article"> <div class="featured-image page-header-image-single "> <img width="1200" height="628" src="https://gynecology.blog/archive/wp-content/uploads/2024/11/banner-22-min-scaled-e1730708929344.jpg" class="attachment-full size-full" alt="" itemprop="image" decoding="async" fetchpriority="high" /> </div> <header class="entry-header"> <h1 class="entry-title" itemprop="headline">Patient-Centered Approaches to Treating Menorrhagia: Insights from Qualitative Studies</h1> <div class="entry-meta"> <span class="posted-on"><time class="updated" datetime="2024-11-04T15:29:26+05:30" itemprop="dateModified">November 4, 2024</time><time class="entry-date published" datetime="2024-11-04T13:58:58+05:30" itemprop="datePublished">November 4, 2024</time></span> <span class="byline">by <span class="author vcard" itemprop="author" itemtype="https://schema.org/Person" itemscope><a class="url fn n" href="https://gynecology.blog/archive/author/gynecology/" title="View all posts by gynecology" rel="author" itemprop="url"><span class="author-name" itemprop="name">gynecology</span></a></span></span> </div> </header> <div class="entry-content" itemprop="text"> <h4><b>Introduction</b></h4> <p><span style="font-weight: 400;">Owing to the heavy monthly flow, menorrhagia has been considered as a condition that significantly compromises the quality of life for most patients. While the medical definition of the condition is more than 80 milliliters of blood loss during a menstrual cycle, the perception of therapy from patient perspectives and practices vary vastly from one another.</span></p> <p><span style="font-weight: 400;">In light of the fact that most of the results went against the assumption that blood loss fulfilled the criteria in all women treated for therapeutic purposes for HMB, the intervention is more of advanced and focused on the patient. This blog shall describe briefly an overview of information gleaned from several qualitative studies on the management and therapy of menorrhagia; the approaches were marked especially by giving attention to the experience, values, and preferences of the patients.</span></p> <h4><b>Understanding Menorrhagia Through Patient Experiences</b></h4> <p><span style="font-weight: 400;">Menorrhagia is a condition that disrupts daily activity, physical ease, and psychological comfort besides blood loss. Menorrhagia patients experience an immensely diminished quality of life with reduced choices of social and recreational activities and physical exercise. Qualitative studies have abundantly established the gap between women&#8217;s experience of their life and clinical conceptualization of heavy menstrual bleeding. These results will show that the women patients often come for medical treatment after blood loss since it affects their ability to work, social life, and personal relationships aside from the amount of blood lost.</span></p> <p><span style="font-weight: 400;">Qualitative research also shows that most women appear to feel that doctors could not possibly be listening to their complaints. In many cases, patients express discontent with the clinical focus on the quantification of blood loss rather than the effects of the illness on quality of life. Menorrhagia patients frequently encounter pain, fatigue, and anxiety related to their cycles, which appear to be anything but pleasant cycles. This would, thus mean consideration for both the effects of the illness on everyday functioning and mental health as well as the clinical symptoms during patient-centered management.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Yearwise Publication Trend on <b>“<a href="https://gynecology.blog/publication-trends/index/menorrhagia" target="_blank" title="menorrhagia - yearwise publication trends">menorrhagia</a>”</b></h2> </div> </div><div class="results-container"><div class="chart-block" style="padding:15px;"> <div class="left"> <div id="results" class="results"></div> </div> <div class="right"> <div class="chart-container"><canvas id="publicationChart"></canvas></div> </div> <div class="keywordsdiv"> <div style="text-align:center;"><b>Find publication trends on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-stats"></span> </div> </div></div></div><div class="inside-article"><style> table { margin: 0 0 1.5em; 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For example, hysterectomies are considered excessively drastic even if they are effective in treating symptoms, but these individuals are often highly active and would choose less invasive therapies. In the same vein, even though endometrial ablation proved beneficial for a great number of women, not all women—especially those who hope to become pregnant in the future—can benefit from this kind of treatment.</span></p> <p><span style="font-weight: 400;">Physicians might center their attention on objective, measurable features like less blood loss, while women might seek treatment in order to enhance their quality of life in general-being less painful; get rid of worries-provoking symptoms; and regain control over social and working life. This makes shared decision-making an even more important process-than formulating a treatment plan based on a patient&#8217;s values and preferences. Much analysis has shown that this approach leads to increased adherence by the patients towards the treatment plan and the level of satisfaction about the care received.</span></p> <h4><b>Patient Preferences in Treatment</b></h4> <p><span style="font-weight: 400;">This would, therefore, require knowledge of the patient&#8217;s aims on matters of reproduction, lifestyle, and preferred type of control of side effects for a patient-centered therapy for menorrhagia. Most women opt for conservative treatments even though they are somewhat less effective in reducing the flow of blood compared to other methods such as hormone therapy or non-surgical methods. Women, particularly have opted for the non-invasive, reversible LNG-IUS system due to the fact that it not only reduces the monthly loss of blood but also has contraception with long-term effects.</span></p> <p><span style="font-weight: 400;">A qualitative survey proved that despite tolerating a certain level of chronic pain or discomfort, most women chose the techniques aimed at the preservation of reproductive organs. However, physicians tend to recommend more radical interventions, such as hysterectomy, that may contradict the patient&#8217;s wishes. Therefore, it is also expected of a practicing doctor to have length of time in talking to the patient so that he or she should balance the advantages and disadvantages of various therapies corresponding to their choices and values.</span></p> <h4><b>Psychosocial and Emotional Considerations</b></h4> <p><span style="font-weight: 400;">The clinical history very frequently neglects the significant psychosocial cost related to menorrhagia. Because of their medical condition, most of them suffer from some degree of social exclusion, anxiety, and embarrassment. Some of these women may withdraw from social situations, job, or other physical activity, because excessive bleed is unpredictable in nature and may cause their subjective view of losing control over their condition to deteriorate.</span></p> <p><span style="font-weight: 400;">Another trigger that would exacerbate an existing mental illness, such as anxiety or hopelessness, is emotional menorrhagia.</span></p> <p><span style="font-weight: 400;">Qualitative research calls for these psychological and emotional elements to be taken into consideration when delivering patient-centered care. Individuals are going to better manage the overall effects of the disease when getting therapy that contains counseling, support groups, or even psychologic services. This includes obviously: informing patients of the natural occurrence of menorrhagia and the existence of therapy helps to make them feel less alone and less ashamed and can also give them the confidence to ask for help when they need it and to stick to their treatment regimens.</span></p> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Recent Publications on <b>“<a href="https://gynecology.blog/recent-publications/index/menorrhagia" target="_blank" rel="noopener" title="menorrhagia - yearwise publication list">menorrhagia</a>”</b></h2> </div> </div> <div class="pb-main"><div class="article-scroll"><div id="results_recent" class="results"></div></div><div class="keywordsdiv" style="margin: 0px 15px;margin-top:20px;"> <div style="text-align:center;"><b>Find publications on relevant topics</b> </div> <span class="gp-icon icon-tags"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M20 39.5c-8.836 0-16 7.163-16 16v176c0 4.243 1.686 8.313 4.687 11.314l224 224c6.248 6.248 16.378 6.248 22.626 0l176-176c6.244-6.244 6.25-16.364.013-22.615l-223.5-224A15.999 15.999 0 00196.5 39.5H20zm56 96c0-13.255 10.745-24 24-24s24 10.745 24 24-10.745 24-24 24-24-10.745-24-24z"></path><path d="M259.515 43.015c4.686-4.687 12.284-4.687 16.97 0l228 228c4.686 4.686 4.686 12.284 0 16.97l-180 180c-4.686 4.687-12.284 4.687-16.97 0-4.686-4.686-4.686-12.284 0-16.97L479.029 279.5 259.515 59.985c-4.686-4.686-4.686-12.284 0-16.97z"></path></svg></span> <span id="keyword-papers"></span> </div></div></div><div class="inside-article"> <style> .pb-main{ border: solid 1px #ccc; border-top: none; margin-bottom: 20px; padding-bottom: 25px; background:#fff; } .author-main { border: solid 1px #ccc; border-top: none; margin-bottom: 20px; padding-bottom: 25px; background:#fff; } .publication-block { padding: 10px; margin-bottom: 10px; background-color: #f9f9f9; text-align: left; background: #FFF; border-bottom: solid 1px #ccc; margin-left: 15px; margin-right: 15px; } .publication-block h3 { margin: 0 0 10px; color: #000!important; } .publication-block a { font-size: 16px !important; line-height: 1em; font-weight: 600; text-transform: none; color: #000; padding: 0px; } .publication-block a:hover{ color: #227cdc; text-decoration:underline; } .article-scroll { max-height: 445px; overflow-y: auto; overflow-x: hidden; } ::-webkit-scrollbar-track { -webkit-box-shadow: inset 0 0 6px rgba(0,0,0,0.3); background-color: #efefef; border-radius:30px; } ::-webkit-scrollbar { width: 6px; background-color: #efefef; border-radius:30px; } ::-webkit-scrollbar-thumb { background-color: #ababab; border-radius:30px; } .publication-block p { margin-bottom: .5em; font-size: 15px; color: #000; } h3 { font-size: 18px !important; margin-bottom: 20px; line-height: 1.2em; font-weight: 600; text-transform: none; } a { padding: 5px; color: #a71c49; } #keyword-papers{ margin-top: 20px; text-align: center; } </style> <script> function displayResults_recent(papers) { var resultsContainer = document.getElementById('results_recent'); if (!papers || papers.length === 0) { resultsContainer.innerHTML = '<p>No recent publications found.</p>'; return; } papers.forEach(paper => { var publicationBlock = document.createElement('div'); publicationBlock.className = 'publication-block'; var publicationHTML = ` <div style="margin-bottom: 10px;line-height: 24px;"><a href="${paper.url}" target="_blank" title="${paper.title}">${paper.title}</a></div> <p><strong>Issue Release:</strong> ${paper.publishedDate}</p> `; publicationBlock.innerHTML = publicationHTML; resultsContainer.appendChild(publicationBlock); }); } function displayKeywordPapers(keywords) { var resultsContainer = document.getElementById('keyword-papers'); resultsContainer.innerHTML = ''; if (!keywords || keywords.length === 0) { resultsContainer.innerHTML = '<p>No data found.</p>'; return; } var keywordHTML = ''; keywords.forEach((key, index) => { let key_replace = key.replace(/ /g, '-'); key_replace = key_replace.toLowerCase(); keywordHTML += `<a href="https://gynecology.blog/recent-publications/index/${key_replace}" target="_blank" title="${key} - publication list">${key}</a>`; if (index < keywords.length - 1) { keywordHTML += ', '; } }); resultsContainer.innerHTML = keywordHTML; } // Call the function with the PHP data var recent_papers = [ { "title": "Factors associated with dysmenorrhoea and menorrhagia improvement in patients with adenomyosis after uterine artery embolisation.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38943550", "publishedDate": "2024" }, { "title": "Factor V haemostatic diathesis impairing thrombin activation, membrane binding and circulating antigen level due to a novel compound heterozygous mutation, Leu1821Ser and Gly2192Cys.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/39118297", "publishedDate": "2024" }, { "title": "Therapeutic potential of Ficus benghalensis in thromboembolic disorders.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/39106616", "publishedDate": "2024" }, { "title": "Case report: A novel somatic variant in a patient with bladder paraganglioma.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38911036", "publishedDate": "2024" }, { "title": "Understanding Adolescent Gynecological Issues: A Cross-Sectional Study at a Tertiary Care Center.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38711716", "publishedDate": "2024" }, { "title": "A Case of Multiple Cerebral Infarcts Due to Severe Anemia Preceded by Migraine-like Headache with Aura.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38749725", "publishedDate": "2024" }, { "title": "Phase 1 trial of first-line bintrafusp alfa in patients with locally advanced or persistent\/recurrent\/metastatic cervical cancer.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38165683", "publishedDate": "2024" }, { "title": "Cavernous hemangioma of corpus imitating endometrial polyp in a young non-pregnant woman: A case report study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38188844", "publishedDate": "2024" }, { "title": "Menstrual Irregularities and Amenorrhea in Thyroid Eye Disease Patients Treated With Teprotumumab.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38215454", "publishedDate": "2024" }, { "title": "Associations between coagulation factors and livedoid vasculopathy and the efficacy and safety of rivaroxaban in patients with livedoid vasculopathy: a retrospective study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38287670", "publishedDate": "2024" }, { "title": "Development of reverse genetics system for Guanarito virus: substitution of E1497K in the L protein of Guanarito virus S-26764 strain changes plaque phenotype and growth kinetics.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38289100", "publishedDate": "2024" }, { "title": "A rare eye manifestation of severe anemia due to menorrhagia.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38273690", "publishedDate": "2024" }, { "title": "Analysis of related factors influencing postoperative recurrence of adenomyosis treated with HIFU.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38347252", "publishedDate": "2024" }, { "title": "Gonadal dysfunction in women with diabetes mellitus.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38353886", "publishedDate": "2024" }, { "title": "Preoperative multimodal ultrasonic imaging in a case of Peutz-Jeghers syndrome complicated by atypical lobular endocervical glandular hyperplasia: a case report and literature review.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38419118", "publishedDate": "2024" }, { "title": "Systematic review and meta-analysis of the etiology of heavy menstrual bleeding in 2,770 adolescent females.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38378571", "publishedDate": "2024" }, { "title": "Menstrual cycles and the impact upon performance in elite British track and field athletes: a longitudinal study.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38445211", "publishedDate": "2024" }, { "title": "Menstrual Cycle Characteristics in Women With and Without Thyroid Disease.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/39036195", "publishedDate": "2024" }, { "title": "Hypothyroidism and Its Impact on Menstrual Irregularities in Reproductive-Age Women: A Comprehensive Analysis at a Tertiary Care Center.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/39070464", "publishedDate": "2024" }, { "title": "Association Between Intrauterine System Hormone Dosage and Depression Risk.", "url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/38982827", "publishedDate": "2024" } ]; var keywordsArray = ["Menorrhagia","heavy menstrual bleeding","patient-centered care","qualitative studies","reproductive health","levonorgestrel-releasing intrauterine system","psychosocial impact","shared decision-making"]; displayResults_recent(recent_papers); displayKeywordPapers(keywordsArray); </script></p> <h4><b>Empowerment Through Education and Shared Decision-Making</b></h4> <p><span style="font-weight: 400;">The right to know about one&#8217;s disease and the treatments available is an integral part of patient-centered management of menorrhagia. Information empowers women to take on a more participative role in the choice of their therapy. Qualitative analysis suggests that even though the therapeutics may not fully eliminate symptoms, women who feel they have a say in their care are more likely to report success and are more satisfied.</span></p> <p><span style="font-weight: 400;">Information concerning the condition and therapies offered constitute a crucial component of patient-centered therapy in menorrhagia. Women who are better informed are likely to be more proactive and proactive in choosing their therapy. Qualitative study shows that such women who believe they have been given a voice in their care tend to report improvements and satisfaction even in situations where therapies may not entirely abolish the symptoms.</span></p> <p><span style="font-weight: 400;">Health care providers should offer full information on the advantages and disadvantages of the alternative therapies available, ranging from non-invasive procedures to surgical and medical interventions. Providers are more likely to incorporate treatment strategies that include alignment with patients&#8217; life goals—such as preservation of fertility or avoidance of interruption of work or other activities—if they make SDM a part of their practice. While the presentation of choices is the healthcare provider&#8217;s role, it is also the healthcare provider&#8217;s role to facilitate communication in order for a woman to express what she wants and fears.</span><span style="font-weight: 400;"><br /> </span><span style="font-weight: 400;">Health care providers should disclose all potential benefits and drawbacks of alternative therapies, from the least invasive techniques to surgical and medical interventions. Providers are more likely to implement treatment plans that support patients&#8217; life goals or interests if they incorporate SDM into their practice-for example, maintaining fertility or avoiding interruptions to work or other activities. In a way, it is the responsibility of the health provider to allow choices, but he also needs to facilitate the communication of women in order for them to express their desires and anxieties.</span></p> <h4><b>Conclusion</b></h4> <p><span style="font-weight: 400;">Menorrhagia is a condition which impacts a woman&#8217;s quality of life, emotional stability, and daily functioning much more than is perhaps realized through purely technical definitions of blood loss. A patient centered approach to the treatment of menorrhagia requires understanding about the personal history of the patient and their involvement in any decisions regarding care.</span></p> <p><span style="font-weight: 400;">Technical definitions of menorrhagia do not precisely define the impact this disorder has on a woman&#8217;s everyday functioning, emotional stability, and quality of life. The patientcentered treatment of this condition requires understanding the personal history of the patient and including the patient in all decisions about care.</span></p> <p><span style="font-weight: 400;">Qualitative research really gives information about the understanding of the women about their condition and preference of treatment; hence, all these sensitivities and holistic care calls for attention in healthcare. Such alternatives would be very instrumental to intensify the effectiveness and satisfaction of women suffering from menorrhagia through shared decision-making, psychosocial consequences, and individualized care.</span><span style="font-weight: 400;"><br /> </span><span style="font-weight: 400;">In fact, qualitative study brings information about the perception of women regarding their condition and preference of treatment; therefore, all these sensitivities and holistic care demand attention in healthcare. Personalized care, collaborative decision-making, and psychosocial consequences would all contribute toward effectiveness and satisfaction of women with menorrhagia. That&#8217;s why such alternatives are really important.</span></p> <p></p> <h4><b>References</b></h4> <ol> <li>Lethaby, A., Hussain, M., Rishworth, J.R. and Rees, M.C., 2015. <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002126.pub3/full">Progesterone or progestogen‐releasing intrauterine systems for heavy menstrual bleeding. </a><i>Cochrane Database of Systematic Reviews</i>, (4).</li> <li>Rodriguez, M.B., Lethaby, A. and Farquhar, C., 2019. <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000400.pub4/full">Non‐steroidal anti‐inflammatory drugs for heavy menstrual bleeding. </a><i>Cochrane database of systematic reviews</i>, (9).</li> <li>Gupta, J., Kai, J., Middleton, L., Pattison, H., Gray, R. and Daniels, J., 2013. <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa1204724">Levonorgestrel intrauterine system versus medical therapy for menorrhagia. </a><i>New England Journal of Medicine</i>, <i>368</i>(2), pp.128-137.</li> <li>Lukes, A.S., Baker, J., Eder, S. and Adomako, T.L., 2012. <a href="https://journals.sagepub.com/doi/full/10.2217/WHE.12.36">Daily menstrual blood loss and quality of life in women with heavy menstrual bleeding.</a> <i>Women’s Health</i>, <i>8</i>(5), pp.503-511.</li> <li>Roberts, T.E., Tsourapas, A., Middleton, L.J., Champaneria, R., Daniels, J.P., Cooper, K.G., Bhattacharya, S. and Barton, P.M., 2011. <a href="https://www.bmj.com/content/342/bmj.d2202.abstract">Hysterectomy, endometrial ablation, and levonorgestrel releasing intrauterine system (Mirena) for treatment of heavy menstrual bleeding: cost effectiveness analysis.</a> <i>BMJ</i>, <i>342</i>.</li> <li>Lukes, A.S., Muse, K., Richter, H.E., Moore, K.A. and Patrick, D.L., 2010. <a href="https://www.tandfonline.com/doi/abs/10.1185/03007995.2010.526098">Estimating a meaningful reduction in menstrual blood loss for women with heavy menstrual bleeding.</a> <i>Current medical research and opinion</i>, <i>26</i>(11), pp.2673-2678.</li> <li>Garside, R., Britten, N. and Stein, K., 2008. <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2648.2008.04750.x">The experience of heavy menstrual bleeding: a systematic review and meta‐ethnography of qualitative studies.</a> <i>Journal of advanced nursing</i>, <i>63</i>(6), pp.550-562.</li> </ol> <p></div></div> <div style="background: #f7f7f7;border: 1px solid rgba(0, 0, 0, 0.07);"> <div style="padding: 30px;"><div class="Adblock-main"> <div class="Adblock-head"> <h2>Top Experts on “<b style="color:#000;font-size:22px;">menorrhagia</b>“</h2> </div> </div><div class="author-main"><div id="results_author"></div><div style="text-align: center;"><a class="register-button" href="https://gynecology.blog/expert-search" target="_blank" rel="noopener">Find experts on any field</a></div></div><div class="inside-article" style="background: none;border: none;box-shadow: none;margin-top: -70px;"> <style> .author-block { padding: 15px; margin-bottom: 10px; text-align: left; font-size: 15px; line-height: 1.2; background: #FFF; border-bottom: solid 1px #ccc; margin-left: 15px; margin-right: 15px; } .author-block h3 { margin: 0 0 10px; color: #227cdc; } .author-block p { margin: 5px 0; } .author-b { display: flex; justify-content: space-between; flex-wrap: wrap; margin-bottom:10px; } .author-b .ainfo { flex: 1 1 30%; box-sizing: border-box; text-align: left; background: #dcdcdc; padding: 7px 14px; border-radius: 5px; margin-top: 3px; margin-right: 10px; } @media (max-width: 768px) { .author-b .ainfo { flex: 1 1 100%; margin: 10px 0; } } </style> <script> function displayResults_author(authors) { var resultsContainer = document.getElementById('results_author'); resultsContainer.innerHTML = ''; if (!authors || Object.keys(authors).length === 0) { resultsContainer.innerHTML = '<p>No authors found.</p>'; return; } Object.values(authors).slice(0, 10).forEach(author => { var authorBlock = document.createElement('div'); authorBlock.className = 'author-block'; 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", "email": "sergio.cabibbo@asp.rg.it", "slug_tail": "s-cabibbo" } }; //console.log(authors_data); displayResults_author(authors_data); var keywordsArray = ["Menorrhagia","heavy menstrual bleeding","patient-centered care","qualitative studies","reproductive health","levonorgestrel-releasing intrauterine system","psychosocial impact","shared decision-making"]; displayKeywordAuthors(keywordsArray); </script></p> </div> <footer class="entry-meta" aria-label="Entry meta"> <span class="cat-links"><span class="gp-icon icon-categories"><svg viewBox="0 0 512 512" aria-hidden="true" xmlns="http://www.w3.org/2000/svg" width="1em" height="1em"><path d="M0 112c0-26.51 21.49-48 48-48h110.014a48 48 0 0143.592 27.907l12.349 26.791A16 16 0 00228.486 128H464c26.51 0 48 21.49 48 48v224c0 26.51-21.49 48-48 48H48c-26.51 0-48-21.49-48-48V112z" /></svg></span><span class="screen-reader-text">Categories </span><a href="https://gynecology.blog/archive/category/menorrhagia/" rel="category 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