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Menorrhagia is a condition that is marked by heavy menstrual bleeding during the monthly menstrual cycles. Most women have a unique bleeding pattern during that time of the month with the flow going up and down over the first few days. Yet, for many women, the bleeding becomes consistently heavy during all the days of the period, during which the period itself may get extended by a few days. If this pattern continues to occurs, one must get it checked out by a doctor at the earliest. Here are a few ways in which this condition may be treated.
Factors considered during treatment: Before the treatment starts, and during the diagnosis stage, the doctor will take a look at a number of factors so that the correct form of treatment may be prescribed to the patient. To begin with, the doctor will take a complete medical history of the patient, including the family history to ascertain whether or not there may be a genetic problem at play. Further, the future childbearing plans of the patient will also be taken into consideration in such cases so that the treatment method does not hinder such plans. Also, the doctor will also try and understand the effect of the symptoms of this condition before prescribing any particular medication and surgery.
- Medication: Iron supplements and non-steroidal anti-inflammatory medicines will be prescribed for the patient to bring down the level of inflammation and restore the production of blood, which will make up for the rapidly flowing blood from the body. This will also prevent the risk of anemia. Oral contraceptives, tranexamic acid, oral progesterone and hormonal therapy can also help in such cases.
- Dilation and Curettage: This procedure is also known as D&C, and it basically helps in dilation or opening up of the cervix so that the doctor may suction the tissue from the uterine lining. This tissue is usually known to bring about excessive bleeding.
- Uterine Artery Embolisation: This is a procedure which shrinks any existing fibroids that may be the cause behind excessive bleeding. In this procedure, the uterine arteries are blocked and the blood supply to the same is cut off so that the fibroids do not get a chance to grow and cause unnecessary pressure that may lead to excessive bleeding.
- Hysterectomy: This is a surgical procedure that removes the cervix as well as the uterus, and is usually the last resort followed by most doctors. In such cases, the doctor will first ascertain whether or not you plan to have any children in the future. Additionally, the ovaries may also be removed if the condition has spread too much to be contained sufficiently. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
I have been married since 3 months. Now we are planning for a baby. My periods started on 25th Nov 2015. Normal cycle lasts for 28 days. Since my hus is working far away from me, could you please tell my ovulation date & the best time to do sex? What all things can we do to make sure that the sperm reach the egg?
Hi Sir, I married 2 months back. Can we use condom for 1 year and have sex? Is it safe for both of us for the first child after 1 year? Or should we proceed to have a baby? Because I heard that for 1st child we should not delay a lot which leads to some problems. So can you please explain regarding this?
I camplit 1.5 years married life but my wife not pregnant. Sir tell me Any mentally tension will effects to pregnancy? Give me solution,& what is the perfect timing of contact before period to get pregnancy.
My wife's monthly circle is not regular and when it comes, it is very scanty. Due to this she has back pain also. Her age is 35. please tell some solution.
Hello, My wife age is 54 and no menses to my wife from 3 years. We done intercourse yesterday without protection .what we do. We are worry.
Hi I have been married for 10 years. I have two children. One is 9, another is2 years. Now a days when my period comes I get abdominal pain and back pain. Is it normal or I need to know why it's happening? Please let me know.
If after taking abortion pill at home and pregnancy not clear after 5 days of bleeding then what shall I do?
Heavy or prolonged bleeding during menses is medically known as 'menorrhagia'. It is more common as you approach menopause but can occur at any age. The bleeding has to be severe enough to interfere with your daily activities.
In advanced age cancer of the uterus or cervix has to be ruled out.
Symptoms of heavy periods
- Soaking a pad or tampon every 2-3 hrs or less in a day
- Passage large blood clots during menstruation
- Your period lasts more than seven days
- You become anemic due to excessive blood loss
How to manage excessive bleeding
- Maintain a record: Maintain a record of the no of days and pattern of heavy bleeding.
- Increase your intake of fluids and salt: You should increase your intake of fluids and especially salty fluids during heavy menstruation. You can have vegetable juices like tomato juice as well as salty broths during such times. This will help you especially when your blood volume goes down (which is characterized by dizziness or pounding of heart) when you get up after lying down. Your body would need more than four to six cups on such a day.
- Increase the intake of iron: Increase your iron intake through natural sources like green vegetables, egg yolks, red meat, liver and dried fruits like raisins and prunes. You can also start an iron tablet once a day for faster recovery from anemia.
- Visit your gynecologist: A good history, few blood tests, and a simple ultrasound generally leads to the diagnosis. Sometimes a biopsy is required to rule out cancer. Multiple new drugs have been added in the last few years which have avoided the need for surgery.
An early diagnosis ends up with better results. Hence, it is important to act early. If you wish to discuss about any specific problem, you can consult a gynaecologist.