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Menorrhagia (heavy menstrual bleeding): Causes, Types, Symptoms, Diagnosis ,Treatment , Risk factors , Complications , Prevention

 What is Menorrhagia (Heavy menstrual bleeding)?

Menorrhagia could be a common soundness that causes an abnormally significant amount of pain and might last for an extended quantity of time. It affects one in each twenty females. Although excessive discharge bleeding is common, it's necessary to talk over with a doctor if you're experiencing symptoms because of a risk of developing anemia, similarly because it is an interruption to your day to day functioning.

Many ladies with heavy periods struggle to get pleasure from daily activities and can experience discontinuous sleep. a girl doesn't have to be restricted by an abnormally heavy period as there are many effective treatments for menorrhagia. If you're experiencing a significant amount of pain with cramping that lasts an extraordinarily long time, please talk over with a doctor to debate treatment options.Heavy discharge bleeding (formerly referred to as menorrhagia) is once your periods are extraordinarily heavy or prolonged. "Heavy" implies that your period lasts longer than seven days or that you just lose additional blood than is typical throughout menstruation. you will bleed most that you need to amend your tampon or pad each hour for several hours back-to-back. you will pass blood clots the scale of 1 / 4 or maybe larger.

discharge hurts that' thus significant that it interferes together with your standard of living isn't normal. Your supplier will advocate treatments to manage heavy blood flow.

What is Menorrhagia (Heavy menstrual bleeding)

Explanation of medical terms and concept Menorrhagia (heavy menstrual bleeding)

Heavy discharge trauma (HMB) is a terribly important} health problem. This paper offers an outline of the identification of HMB. For every woman, a radical history ought to be taken in concert should ascertain whether or not there are underlying factors that might cause complaints of HMB. Objectively knowing whether or not the blood loss is excessive could even be very beneficial. The pictorial blood assessment chart score will facilitate diagnosis. Physical examination starts with customary medicine examination. Imaging tests are widely employed in the work-up for ladies with HMB. The primary step in imaging tests should be the transvaginal ultrasound. different diagnostic tests ought to solely be performed once indicated.

Menorrhagia is the medical term for expelling amounts with abnormally serious or prolonged hurt. Though heavy menstrual bleeding could be a common concern, most ladies don't experience blood loss severe enough to be outlined as menorrhagia.

With menorrhagia, you can't maintain your usual activities after you have your period as a result of you have got most blood loss and cramping. If you dread your period because you have such heavy menstrual bleeding, speak together with your doctor. There are several effective treatments for menorrhagia. Menorrhagia or heavy menstrual bleeding is a condition characterized by excessive menstrual bleeding Typically a woman considers her period to be heavy if she needs to change her pad or tampon every hour for 2 hours in the first three days of her cycle; if she needs to change it more than that then she has menorrhagia.

Menorrhagia is the medical term for heavy menstrual bleeding It's when you get your period and you experience a heavier flow than normal or you bleed for longer than usual Menstrual blood loss is measured in terms of number of pads/tampons used number of overnight diapers used or blood loss in milliliters (ml).

Symptoms Menorrhagia (heavy menstrual bleeding)

It is common for ladies to have occasional serious periods and cramping. However, folks with hypermenorrhea exhibit consistent heavy hurt and cramping that's severe enough to impact daily level of functioning.

Signs and symptoms of menorrhagia may include:

  • Soaking through one or more sanitary pads or tampons every hour for several consecutive hours

  • Needing to use double sanitary protection to control your menstrual flow

  • Needing to wake up to change sanitary protection during the night

  • Bleeding for longer than a week

  • Passing blood clots larger than a quarter

  • Restricting daily activities due to heavy menstrual flow

  • Symptoms of anemia, such as tiredness, fatigue or shortness of breath

When to see a doctor

Seek medical help before your next scheduled exam if you experience:

  • Vaginal bleeding so heavy it soaks at least one pad or tampon an hour for more than two hours

  • Bleeding between periods or irregular vaginal bleeding

  • Any vaginal bleeding after menopause

Causes Menorrhagia (heavy menstrual bleeding)

During your emission cycle, if an egg isn't fertilized, the female internal reproductive organ lining breaks down, and bleeds. The egg and also the uterine lining are then shed throughout your period.

secretion issues or conditions that have an effect on the female internal reproductive organ may end up in serious trauma. Different diseases or bleeding disorders may cause it.In some cases, the reason for heavy menstrual bleeding is unknown, however a variety of conditions might cause menorrhagia. Common causes include:

  • Hormone imbalance. In a traditional expelling cycle, a balance between the hormones estrogen and progestin regulates the buildup of the liner of the womb (endometrium), that is shed throughout menstruation. If a hormone imbalance occurs, the mucous membrane develops in excess and eventually sheds by approach of significant menstrual bleeding.
    a variety of conditions will cause hormone imbalances, as well as polycystic ovary syndrome (PCOS), obesity, hypoglycemic agent resistance and thyroid problems.

  • Dysfunction of the ovaries. If your ovaries don't unharness AN egg (ovulate) throughout a cycle (anovulation), your body doesn't manufacture the secretion progesterone, because it would during a traditional discharge cycle. This results in hormone imbalance and should lead to menorrhagia.

  • Uterine fibroids. These noncancerous (benign) tumors of the female internal reproductive organ seem throughout your childbearing years. Female internal reproductive organ fibroids could cause heavier than traditional or prolonged catamenial bleeding.

  • Polyps. Small, benign growths on the lining of the uterus (uterine polyps) may cause heavy or prolonged menstrual bleeding.

  • Adenomyosis. This condition happens once glands from the mucosa become embedded within the female internal reproductive organ muscle, typically inflicting significant trauma and painful periods.

  • Intrauterine device (IUD). Menorrhagia could be a well-known facet impact of employing a non hormonal contraceptive for birth control. Your doctor can assist you arrange for various management options.

  • Pregnancy complications. A single, serious, late amount is also because of a miscarriage. Another explanation for heavy hemorrhage throughout physiological condition includes AN uncommon location of the placenta, adore a low-lying placenta or placenta previa.

  • Cancer. Uterine cancer and cervical cancer can cause excessive menstrual bleeding, especially if you are postmenopausal or have had an abnormal Pap test in the past.

  • Inherited bleeding disorders. Some harm disorders — corresponding to von Willebrand' disease, a condition within which a crucial blood-clotting issue is deficient or impaired — will cause abnormal expelling bleeding.

  • Medications. Certain medications, together with anti-inflammatory drug medications, secretion medications reminiscent of estrogen and progestins, and anticoagulants such as anticoagulant medication (Coumadin, Jantoven) or enoxaparin (Lovenox), will contribute to serious or prolonged expelling bleeding.

  • Other medical conditions. A number of other medical conditions, including liver or kidney disease, may be associated with menorrhagia.

Risk factors Menorrhagia (heavy menstrual bleeding)

Risk factors vary with age associated whether or not you have got different medical conditions which will make a case for your menorrhagia. in an exceedingly traditional cycle, the discharge of an egg from the ovaries stimulates the body' production of progestin, the feminine secretion most answerable for keeping periods regular. Once no egg is released, poor progesterone will cause serious expelling bleeding.

menstruum in adolescent women is usually because of anovulation. Adolescent girls are particularly at risk of anovulatory cycles within the 1st year once their first menstrual period (menarche).

menstruum in older reproductive-age women is typically due to female internal reproductive organ pathology, including fibroids, polyps and adenomyosis. However, different problems, akin to female internal reproductive organ cancer, trauma disorders, medication aspect effects and liver or renal disorder can be conducive factors.


Excessive or prolonged menstrual bleeding can lead to other medical conditions, including:

Anemia. Menorrhagia can cause blood loss anemia by reducing the amount of current red blood cells. The amount of circulating red blood cells is measured by hemoglobin, a macromolecule that permits red blood cells to hold elements to tissues.
Iron deficiency anemia happens as your body makes an attempt to create up for the lost red blood cells by victimizing your iron stores to make additional hemoglobin, which might then carry oxygen on red blood cells. period may decrease iron levels enough to extend the chance of iron deficiency anemia.

  • Signs and symptoms embrace pale skin, weakness and fatigue. Although diet plays a role in iron deficiency anemia, the matter is sophisticated by serious discharge periods.

  • Severe pain. Along with significant discharge bleeding, you would possibly have painful menstrual cramps (dysmenorrhea). Typically the cramps related to menstruation are severe enough to need medical evaluation.

Diagnosis Menorrhagia (heavy menstrual bleeding)

Menorrhagia is diagnosed when a medical specialist takes an intensive history of a patient’s cycle and conducts a physical communicating and alternative tests. Generally a doctor can have a patient keep a log of the discharge cycle’s frequency, duration, and severity of hurt and cramping. when a physical examination,Your doctor will presumably raise regarding your anamnesis and menstrual cycles. You'll be asked to keep a diary of bleeding and nonbleeding days, as well as notes on how serious your flow was and the way a lot of sanitary protection you required to manage it.

Your doctor will do a physical communicating and should advocate one or additional tests or procedures such as:

  • Blood tests. A sample of your blood could also be evaluated for iron deficiency (anemia) and alternative conditions, such as thyroid disorders or blood-clotting abnormalities.

  • Pap test. In this test, cells from your cervix are collected and tested for infection, inflammation or changes that will be cancerous or may cause cancer.

  • Endometrial biopsy. Your doctor may take a sample of tissue from the inside of your uterus to be examined by a pathologist.

  • Ultrasound. This imaging technique uses sound waves to provide pictures of your uterus, ovaries and pelvis.

Based on the results of your initial tests, your doctor may recommend further testing, including:

  • Sonohysterography. During this test, a fluid is injected through a tube into your female internal reproductive organ by approach of your channel and cervix. Your doctor then uses ultrasound to see for issues within the lining of your uterus.

Hysteroscopy. This examination involves inserting a thin, lighted instrument through your channel and cervix into your uterus, that permits your doctor to check the within of your uterus.

  • Doctors may be certain of a designation of period solely once ruling out different discharge disorders, medical conditions or medications as potential causes or aggravations of this condition.

Treatment Menorrhagia (heavy menstrual bleeding)

Your health care supplier can think about your age and overall health and your personal preferences once finding the simplest treatment for you.

Treatment depends on what inflicts your hemorrhage, however severe your bleeding is, your health, age and medical history. Also, treatment depends on your response to sure medicines and your preferences. For instance, you'll not want to own an amount at all, otherwise you might want to scale back your bleeding. In addition, your plans to be pregnant will have an effect on your treatment options.

speak along with your provider about your health issues and your goals for treatment.

Specific treatment for menorrhagia is based on a number of factors, including:

  • Your overall health and medical history

  • The cause and severity of the condition

  • Your tolerance for specific medications, procedures or therapies

  • The likelihood that your periods will become less heavy soon

  • Your future childbearing plans

  • Effects of the condition on your lifestyle

  • Your opinion or personal preference


Medical therapy for menorrhagia may include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs, cherish Nuprin (Advil, Motrin IB, others) or Aflaxen (Aleve), facilitate scale back blood loss. NSAIDs have the additional advantage of relieving painful discharge cramps (dysmenorrhea).

  • Tranexamic acid. Tranexamic acid (Lysteda) helps scale back menstrual flow loss and solely must be taken at the time of the bleeding.

  • Oral contraceptives. Aside from providing birth control, oral contraceptives will facilitate regulating catamenial cycles and scale back episodes of excessive or prolonged menstrual bleeding.

  • Oral progesterone. The hormone progesterone can help correct hormone imbalance and reduce menorrhagia.

Hormonal IUD (Liletta, Mirena). This preventive releases a sort of progestogen known as levonorgestrel, that makes the female internal reproductive organ lining skinny and reduces menstrual flow flow and cramping.

If you've got symptoms from taking hormone medication, you and your doctor are also able to treat the condition by dynamically or stopping your medication.

  • If you furthermore may have anemia because of your menorrhagia, your doctor may advocate that you simply take iron supplements regularly. If your iron levels are low however you're not anemic, you'll be started on iron supplements instead of waiting till you become anemic.


You may like surgical operation for menses if medical medical aid is unsuccessful. Treatment choices include:

  • Dilation and curettage (D&C). In this procedure, your doctor opens (dilates) your cervix and so scrapes or suctions tissue from the liner of your female internal reproductive organ to scale back expelling harm. Though this procedure is common and sometimes treats acute or active bleeding successfully, you will want extra D&C procedures if flow recurs.

  • Uterine artery embolization. For women whose catamenia is caused by fibroids, the goal of this procedure is to shrink any fibroids within the womb by obstructing the female internal reproductive organ arteries and separating their blood supply. Throughout vas} embolization, the operating surgeon passes a tubing through the massive artery in the thigh (femoral artery) and guides it to your uterine arteries, wherever the blood vessel is injected with materials that decrease blood flow to the fibroid.

  • Focused ultrasound surgery. Similar to artery embolization, targeted ultrasound surgery treats trauma caused by fibroids by shrinking the fibroids. This procedure uses ultrasound waves to destroy the fibroid tissue. There aren't any incisions needed for this procedure.

  • Myomectomy. This procedure involves surgical removal of female internal reproductive organ fibroids. betting on the size, range and placement of the fibroids, your doc would like better to perform the myomectomy victimization open abdominal surgery, through many little incisions (laparoscopically), or through the canal and cervix (hysteroscopically).

  • Endometrial ablation. This procedure involves destroying (ablating) the liner of your female internal reproductive organ (endometrium). The procedure uses a laser, radiofrequency or heat applied to the mucous membrane to destroy the tissue.
    when mucosal ablation, most ladies have a lot of lighter periods. maternity after endometrial ablation has several associated complications. If you've got endometrial ablation, the employment of a reliable or permanent contraceptive method till climacteric is recommended.

  • Endometrial resection. This operation uses AN electrosurgical wire loop to get rid of the liner of the uterus. Each mucosal ablation and endometrial surgery profit girls who have terribly serious expelling bleeding. maternity isn't counseled once this procedure.

Hysterectomy. Hysterectomy — surgery to get rid of your female internal reproductive organ associated cervix — may be a permanent procedure that causes sterility and ends expelling periods. cutting out is performed beneath anesthesia and needs hospitalization. extra removal of the ovaries (bilateral oophorectomy) may cause premature menopause.

Several of those surgical procedures are done on a patient basis. Though you would like a general anesthetic, it's seemingly that you simply will head home shortly an equivalent day. Associate abdominal myomectomy or a hysterectomy sometimes requires a hospital stay.

  • Once a period is a sign of another condition, love thyroid disease, treating that condition usually ends up in lighter periods.

Preparing for your appointment

If your periods are thus serious that they limit your lifestyle, create a rendezvous together with your doctor or alternative health care provider.

Here's some info to assist you steel yourself for your appointment and what to expect from your provider.

What you can do

To prepare for your appointment:

  • Ask if there are any pre-appointment instructions. Your doctor might raise you to trace your expelling cycles on a calendar, noting how long they last and the way significant the trauma is.

  • Write down any symptoms you're experiencing, and for a way long. In addition to the frequency and volume of your periods, tell your doctor regarding alternative symptoms that usually occur around the time of your period, appreciate breast tenderness, discharge cramps or girdle pain.

  • Write down key personal information, including any recent changes or stressors in your life. These factors can affect your menstrual cycle.

  • Make a list of your key medical information, including different conditions that you're being treated and also the names of medications, vitamins or supplements you're taking.

  • Write down questions to ask your doctor, to help make the most of your time together.

For menorrhagia, some basic questions to ask your doctor include:

  • Are my periods abnormally heavy?

  • Do I need any tests?

  • What treatment approach do you recommend?

  • Are there any side effects associated with these treatments?

  • Will any of these treatments affect my ability to become pregnant?

  • Are there any lifestyle changes I can make to help manage my symptoms?

  • Could my symptoms change over time?

Don't hesitate to ask any other questions that occur to you during your appointment.

What to expect from your doctor

Your doctor is likely to ask you a number of questions, such as:

  • When did your last period start?

  • At what age did you begin menstruating?

  • How have your periods changed over time?

  • Do you have breast tenderness or pelvic pain during your menstrual cycle?

  • How long do your periods last?

  • How frequently do you need to change your tampon or pad when you're menstruating?

  • Do you have severe cramping during your period?

  • Has your body weight recently changed?

  • Are you sexually active?

  • What type of birth control are you using?

  • Do you have a family history of bleeding disorders?

  • Do your symptoms limit your ability to function? For example, have you ever had to miss school or work because of your period?

  • Are you currently being treated or have you recently been treated for any other medical conditions?

What you can do in the meantime

While you stay up for your appointment, talk to your members of the family to search out if any relatives are diagnosed with trauma disorders. In addition, begin jotting down notes regarding how usually and the way a lot of you bleed over the course of every month. to trace the quantity of bleeding, count what percentage tampons or pads you saturate throughout a median emission period.

General summary

menorrhagia (heavy menstrual bleeding)

Menorrhagia is a condition in which women have heavy menstrual periods that last longer than usual The average amount of menstrual bleeding ranges from 3 to 6 tablespoons Menorrhagia can be caused by hormone imbalances or abnormalities fibroids endometriosis and other conditions If left untreated menorrhagia can lead to anemia and decreased quality of life for the sufferer.

What medication is used to stop heavy menstrual bleeding?

Heavy menstrual bleeding medically called menorrhagia is when a woman has menstrual periods that last longer than seven days or that last more than three times in a month It's normal for women to experience some blood loss during their periods but heavy bleeding can cause anemia and other health problems If you think you're experiencing menorrhagia talk to your doctor about what treatment options are available.

How do you treat menorrhagia naturally?

Menorrhagia is a condition in which the menstrual bleeding is more than normal There are various causes for this condition Some of the common causes are hormonal imbalance fibroids endometriosis and uterine polyps The treatment varies according to the cause of menorrhagia Common treatments include hormonal therapy intrauterine device or surgery.

Menorrhagia is heavy or prolonged menstrual bleeding This condition may cause a woman to lose large amounts of blood during her period and increase her risk for anemia Menorrhagia may result from hormonal changes in the body and can be caused by certain health conditions such as uterine fibroids polyps cancer or endometriosis Treatment options include lifestyle modifications such as reducing caffeine intake and exercising regularly as well as medication such as nonsteroidal anti-inflammatory drugs (NSAIDs) or birth control pills to reduce bleeding If these methods fail to reduce the amount of blood lost during periods or if they are not effective at all.

How long can menorrhagia last?

Menorrhagia is the medical term for abnormally heavy menstrual periods Prolonged menorrhagia can also be referred to as hypermenorrhea A healthy menstrual cycle lasts 3-5 days with a normal blood loss of 30-60 ml (about two tablespoons) per period Any amount in excess of this is considered abnormal Typically women who suffer from heavy bleeding will experience severe cramping during their period and require additional pads or tampons and pain medication in order to function normally during this time of the month.

Is there a pill to stop bleeding?

People use the terms "bleeding" and "hemorrhaging" interchangeably but they are not the same thing Bleeding is the escape of blood outside of a blood vessel Hemorrhaging occurs when there is enough blood loss to cause concern for your health or safety Bleeding that doesn't stop on its own is a symptom of hemorrhaging while bleeding that stops on its own is not necessarily indicative of hemorrhaging.

Why is my period so heavy and Clotty?

A heavy period can be caused by a number of different factors A woman's menstrual cycle is regulated by hormones and the levels of these hormones are sensitive to a wide range of factors including stress exercise diet and environment If you experience any serious changes in your period throughout your menstrual cycle or if you have painful periods that come with abdominal cramping or bleeding between cycles talk to your doctor about what might be causing these changes.

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Menorrhagia (heavy menstrual bleeding): Causes, Types, Symptoms, Diagnosis ,Treatment , Risk factors  , Complications , Prevention

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