A physician wrote up a case study here detailing the case of a 39 years old female in the Detroit area who had uncontrollable bleeding while on Xarelto. The physician contrasts the lack of a specific protocol to treat such bleeding as compared to a patient who presents with bleeding while on Warfarin/Coumandin. There is a very specific FDA protocol approved for people who bleed while on Warfarin.
In the end, physicians were forced to perform a surgery that affected the woman's fertility to save her life. They succeeded. The patient left the hospital alive....but most probably, she could have also left the hospital with her fertility if there were specific protocols to address bleeding while on Xarelto.
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