Heavy Menstrual Bleeding, Menorrhagia
Heavy Menstrual Bleeding, Menorrhagia
It is defined as abnormal high or prolonged flow of menstrual blood. It can cause severe blood loss which can lead to the weakness and cause hurdle in daily routine function.
Symptoms
Below mention are the signs and symptoms of menorrhagia:
- Passing blood clots
- Need to use more than one pad at a time
- Bleeding disturb sleep at night
- Anemia
- Fatigue
- Mood swings
Causes
Following are the causes of menorrhagia:
- Abnormality in ovaries
- Hormonal imbalance
- Polyps
- Adenomyosis
- Uterine fibroids
- Inherited bleeding disorder
- Cancer
Complications
If left untreated it may cause the following complications:
Diagnosis
It is usually diagnosis at clinical setup but to confirm the causes your doctor might recommend the following tests:
- Ultrasound to check the images of uterus and ovary
- Blood tests to check the anemia
- Pap smear
- Endometrial biopsy to check any malignancy
Treatment
Treatment options include:
- Oral contraceptives
- NSAIDs to relieve pain
- Progesterone
- Tranexamic acid to reduce the blood loss
- Hormonal intrauterine device
- Sometimes surgical process used to treat the underlying causes like myomectomy, uterine artery embolization.