Menorrhagia

Symptoms of menorrhagia :

•        Soaking through a few sanitary pads every hour for a number of hours.
•        Needing to limit your menstrual flow by using two sanitary pads for protection.
•        Waking up in the middle of the night to change sanitary supplies.
•        More than a week's worth of bleeding
•        Larger-than-a-quarter blood clots passing
•        Limiting activities because to strong menstrual flow
•        Anemia symptoms such fatigue, shortness of breath, and exhaustion

Symptoms that require immediate medical help include:

•        Vaginal bleeding that lasts longer than two hours and requires at least one pad to be soaked per hour.
•        Any vaginal bleeding after menopause
•        Bleeding between periods or irregularly

If you have any of these symptoms visit a Gynaecologist to be diagnosed and treated properly.

In some instances, the reason for excessive menstrual bleeding is unknown, however menorrhagia can be brought on by a variety of illnesses. Such causes include :

•        Hormone imbalance
•        Dysfunction of the ovaries
•        Uterine fibroids
•        Polyps
•        Adenomyosis
•        Intrauterine device (IUD)
•        Pregnancy complications
•        Cancer
•        Inherited bleeding disorders
•        Medications : Certain medications, including anti-inflammatory medications, hormonal medications such as estrogen and progestins, and anticoagulants. 

•        Blood test: to check for anemia, problems with the thyroid, or problems with the way the blood clots.
•        Pap test: to find out if you have an infection, inflammation, or changes in your cells that might be cancer or might cause cancer.
•        Endometrial biopsy: to find out if you have cancer or other abnormal cells.
•        Ultrasound: to show what your blood vessels, tissues, and organs look like, and to check your blood flow.
•        Other tests might be required such as:
•    Sonohysterogram
•    Hysteroscopy
•    Dilation and Curettage (D&C)

The reason of your bleeding and its severity will determine the kind of treatment you receive.

•        Medicine
•    Iron supplements
•    Ibuprofen
•    Birth control pills.
•    Intrauterine contraception (IUC).
•    Hormone therapy
•    Antifibrinolytic medicines
•   Surgical management
•    Dilation and Curettage (D&C)
•    Operative hysteroscopy
•    Endometrial ablation or resection
•  Hysterectomy