Heavy Menstrual Bleeding
What is Menorrhagia?
Menorrhagia is a medical term for heavy menstrual bleeding that lasts for more than 7 days.
What are the symptoms of menorrhagia?
- Heavy periods for more than 7 days
- Heavy bleeding with Blood clots
- Changing pads at night
- changing pads/tampons every hour
- Decreased energy and feeling weak
- Shortness of breath and fatigue
- The last two symptoms are due to decrease in the hemoglobin (anemia) due to excessive blood loss
What causes Menorrhagia?
- Any uterine growth such as fibroids, polyps
- Adenomyosis is a condition in which the cells that line the inside of the uterus (endometrium) are abnormally located in cells that make up the uterine wall (myometrium). This can result in a somewhat enlarged uterus. Adenomyosis can cause very painful periods and heavy bleeding.
- Cervical growth (can be polyp or cancer growth)
- Bleeding disorders
- Pelvic Infection
- Perimenopause period (menopause transition)
- Pregnancy-related problems (miscarriage/ectopic pregnancy)
How is it diagnosed and treated?
Our first line of diagnosis usually includes:
- A Pelvic examination
- Blood tests to check your hemoglobin levels, coagulation profile, thyroid hormone levels etc
- Pap smear to look for cervix growth/infection
- ULTRASOUND Pelvis (Through abdomen with full bladder or through vagina – transvaginal scan)- 2D/3D/COLOR doppler scans
- Once the first set of test reports are seen, treatment or further diagnostic tests can be prescribed.
Can it be prevented?
No. We can not prevent menorrhagia. However, being aware of this condition and consulting your health care specialist can treat it.
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