Menorrhagia

What is Menorrhagia?

Menorrhagia is a menstrual disorder which causes extremely heavy or prolonged blood loss during the menstrual cycles. Heavy menstrual bleeding is normal amongst women who are about to have their me...

Symptoms

The signs and symptoms of Menorrhagia include:

  • Anemia
  • Weakness and fatigue
  • Soaking through one or more sanitary pads or tampons every hour
  • Usage of more than one sanitary pads to control the flow
  • Needing to change the sanitary protection frequently, especially during the night
  • Menstrual cycles last for more than a week
  • Presence of blood clots in the menstrual flow
  • Inability to complete daily tasks due to heavy bleeding

Causes

Menorrhagia may be caused due to:

  • Hormonal imbalance
  • Loss of ovarian function
  • Presence of fibroids in the uterus
  • (Small growth on the uterus lining) 
  • Usage of Intrauterine device (IUD)
  • Pregnancy complications
  • Uterine cancer
  • Ovarian cancer
  • Cervical
  • Inherited bleeding disorders
  • Anti-inflammatory medications
  • Pelvic inflammatory disease (PID)
  • Thyroid problems
  • Liver or kidney diseases

Risks

Adolescent girls who have just started menstruating and older women about to have menopause are at an increased risk of being diagnosed with Menorrhagia. 

Prevention

Menorrhagia can be prevented by adopting a healthy and active lifestyle which includes regular exercise, a balanced diet that is rich in calcium and iron, avoiding excessive sugar and caffeine, avoiding foods that have a high salt and fat content and by staying hydrated.

How is it diagnosed?

The doctor will examine the patient’s medical history and her menstrual patterns. The doctor may ask the patient to maintain a menstrual diary and note the bleeding and the non-bleeding days, how...

How is it treated?

The doctor chooses the appropriate treatment for Menorrhagia depending on the patient’s overall health, tolerance level, pregnancy concerns, medical history and the underlying cause of the di..

  • Iron supplements

    The doctor may recommend iron supplements to raise the iron content of the blood if the patient is anaemic.

  • Non-steroidal anti-inflammatory drugs

    These drugs help in reducing menstrual blood loss as well as relieving painful menstrual cramps.

  • Tranexamic acid

    Tranexamic acid helps in reducing menstrual blood loss and should only be taken during the menstrual cycle.

  • Oral progesterone

    Oral progesterone helps in correcting hormone imbalance and reducing the symptoms of Menorrhagia.

  • Dilation and curettage (D&C)

    The doctor dilates the patient’s cervix and then scrapes the tissues from the lining of the uterus to decrease the menstrual bleeding.

  • Uterine artery embolization

    The procedure helps in shrinking any fibroids present in the uterus that may be causing Menorrhagia.

  • Myomectomy

    In Myomectomy, the doctor surgically removes the uterine fibroids by making several small incisions or through the vagina.

  • Endometrial ablation

    In this procedure, the doctor permanently destroys the lining of the uterus that results in lighter periods.

  • Endometrial resection.

    The procedure involves an electrosurgical wire loop to remove the lining of the uterus to reduce heavy menstrual bleeding.

When do I contact the doctor?

One should consult a doctor if any signs and symptoms of Menorrhagia are observed.

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