Menorrhagia may be termed as the particular condition wherein the women suffer from heavy or prolonged bleeding during menstruation. This problem results in intolerable amount of blood that goes out and the women may suffer from tiredness and other problems because of its loss. Cramping may also occur due to Menorrhagia that results in enough loss of blood to soak a paid or tampon after frequent intervals.
Symptoms – Women suffering from Menorrhagia have to change the sanitary pads now and them because of excessive bleeding. Double sanitary protection may be required for controlling menstrual flow. Blood clots in menstruation are also common amongst the women that suffer from disturbed sleeps for changing the sanitary protection during the night. Bleeding that may last for about one week or more can create hurdles for doing routine tasks. Breathlessness, fatigue or anemia etc is also other symptom of Menopause.
Causes – Imbalanced hormones may result in Menopause that occurs because of disturbed hormones. Balanced estrogen and progesterone hormones regulate buildup of the lining of the uterus. Imbalance in the hormones results in excessive development of endometrium leading to heavy menstrual bleeding. Non-production of egg by the ovaries during the menstrual cycle results in hormone-imbalance that leads to this disorder. Menstrual bleeding can become excessive because of anticoagulants and anti-inflammatory medicines. Heavy or prolonged menstrual bleeding can occur because of uterine fibroids too. It can affect due to polyps, the small mild growths on the lining of the uterus. Middle-aged women are more prone to Menorrhagia. Use of nonhormonal Intrauterine device (IUD) may also be cause of this problem. This device is used for birth control and should be removed if it causes excessive bleeding. Pregnancy complications, cancer or inherited bleeding disorders may also result in Menorrhagia that should be cared for in the earlier stages.
Diagnosis – The doctor may recommend blood test, Pap test, endometrial biopsy or ultrasound scan to diagnose the problem and suggest suitable treatment. Hysteroscopy or sonohysterogram may also be recommended in certain cases of Menorrhagia.
Treatment – The doctor recommends suitable medicines or other treatment methods that depend upon case to case, relevant causes, response to certain medicines or childbearing plans in the future. Women suffering from this problem because of anemia may be advised to take iron supplements. Menstrual blood loss can be controlled with NSAIDs like naproxen, ibuprofen or other such drugs. Women get sufficient relief with Tranexamic acid (Lysteda) that need to be taken at the time of bleeding. Hormonal imbalance can be controlled with oral progesterone that may be taken for about ten days. Menstrual cycles can be managed with oral contraceptives too. Menstrual blood flow and cramping can be managed with the intrauterine device, i.e. hormonal IUD (Mirena) that releases levonorgestrel. It helps to make the uterine lining thin enough.
Menorrhagia may be got rid of by discontinuing the medicines that lead to its occurrence. It can be managed with surgical methods too. Doctor’s consent is a must as some of the treatments may result in side effects.