Menorrhagia

Acute

What is Menorrhagia?

Menorrhagia is defined as menstruation at regular cycle intervals but with excessive flow and duration and is one of the most common gynecologic complaints in contemporary gynecology. See the image below. Acute menorrhagia requires prompt medical intervention

  • Need to change pads or tampons during the night.
  • Have menstrual periods lasting more than 7 days.
  • Need to double up on pads to control your menstrual flow.
  • Have a menstrual flow that soaks through one or more pads or tampons every hour for several hours in a row.
  • Anemia. Heavy menstrual bleeding can cause anemia related to blood loss. Anemia is a condition in which the body lacks enough red blood cells to carry oxygen to tissues.
  • Severe pain. Along with heavy menstrual bleeding, you might have painful menstrual cramps. This also is known as dysmenorrhea

Menorrhagia is heavy or prolonged menstrual bleeding. It is a common problem in women. It is caused by hormone problems, problems with the uterus, or other health conditions. Menorrhagia is diagnosed with a pelvic exam, ultrasound, pap test, and sometimes a biopsy.

  • Cancer.
  • Polyps.
  • Adenomyosis.
  • Uterine fibroids.
  • Pregnancy complications.
  • Problems with the ovaries.
  • Intrauterine device, also called an IUD.
  • Hormones being out of balance. In a typical menstrual cycle, there's a balance between the hormones estrogen and progesterone.

Oral contraceptives. Aside from birth control, oral contraceptives can help regulate menstrual cycles and ease menstrual bleeding that is heavy or lasts a long time. Oral progesterone. The natural hormone progesterone can help fix hormone imbalance and reduce heavy menstrual bleeding.

How is it diagnosed?

How is it diagnosed?

SELF-TREATMENT

Taking an anti-inflammatory medication such as ibuprofen or mefenamic acid may help to reduce blood loss.

Seeking Medical Care - See a doctor immediately if you

  • Soak through more than one pad or tampon an hour over several hours
  • Also have fatigue or shortness of breath

Make an appointment to see a doctor if you

  • Bleed longer than a week or between periods
  • Notice your menstrual flow is heavier than usual
  • Pass blood clots on more than one day of your period
  • Must double-up on pads to prevent soaking through
  • Have difficulty doing daily activities
  • Experience any bleeding after menopause

How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

  • Dilation and curettage, also called a D&C. In this procedure, your doctor opens your cervix.
  • Uterine artery embolization. The goal of this procedure is to block blood flow to uterine fibroids.
  • Focused ultrasound.
  • Myomectomy.
  • Endometrial ablation.
  • Endometrial resection.
  • Hysterectomy.

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