What is heavy menstrual bleeding?
severe menstrual bleeding or menorrhagia concerns menstrual bleeding that is either prolonged or excessive or sometimes both. In women who are premenopausal, severe menstrual bleeding is often observed, but it may occur at any age. It is not uncommon for a woman to experience several severe episodes for bleeding. However, repeated incidents of menorragia should be medically evaluated to eliminate abnormal gynecological conditions. Fibroid tumors can cause excessive or prolonged bleeding and may be accompanied by abdominal and back pain. In addition, the hormonal imbalance may cause the uterus lining. When this happens, the release of the lining can cause severe menstrual bleeding. The uterine polyps can sometimes cause abnormal menstrual bleeding. This happens most often due to elevated hormone levels.
Often drugs can contribute to severe haemorrhage. Medications such as aspirin or anticoagulants can thinner blood and contribute to heavyMenstrual blood flow. Strong bleeding can also signal complications of pregnancy. Rarely, ectopic pregnancy can cause severe menstrual bleeding. In addition, some bleeding disorders that do not allow proper blood clotting may promote menorrhagia.
It is very important to perform a physical examination, which includes paint PAP and pelvic examination to determine the cause of severe menstrual bleeding. Sometimes excessive blood loss during the menstrual period may be related to uterine cancer, cervix or ovaries. Blood loss can sometimes be so large that the patient can be seriously anemic. When there is a severe anemia, the patient can experience extreme fatigue, dizziness and heart palpitations.
In general, the doctor asks for trap and contemporary illness, medicines and family history. In addition, the patient may undergo further testing such as blood tests and thyroid tests.The diagnosis of hypothyroidism can often cause severe bleeding during menstrual periods. In addition to blood tests, further diagnostic tests may include pelvic ultrasound and endometrial biopsy.
Common treatment of heavy, abnormal menstrual periods may include iron hormones and supplementation. Dilation and curettage or D and C, where the tissue is removed from the uterus, can reduce severe bleeding. Sometimes endometrial ablation can be performed to remove the uterus lining and reduce blood flow. In extreme cases, the physician may recommend hysterectomy that causes the patient to undergo surgical menopause, resulting in complete termination of menstrual periods.