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Heavy Menstrual Flow - 10 Ways To Manage It

Dr. Anuradha Khurana 91% (163 ratings)
MBBS, DGO
Gynaecologist, New Delhi  •  14 years experience
Heavy Menstrual Flow - 10 Ways To Manage It

Heavy menstrual flow also known as Menorrhagia is one of the most common form of abdominal bleeding from uterus. Everyone has different periods, some might not even notice that time of the month, while others might suffer from heavy bleeding, feeling miserable and a constant worry of leaks and stains leading to embarrassing situations. Periods are considered to be heavy if a pad or tampon is soaked in blood every hour.

Other symptoms of heavy bleeding could be:
- Passing of large clots
- Bleeding at night which requires to get up to change a pad
- Any period that lasts for more than seven days

The causes of heavy bleeding during periods might be due to fibroids (noncancerous tumors of the uterus), ectopic pregnancy, cervical cancer, pelvic inflammatory disease, use or blood thinners and problems with intrauterine device.
If you are one of those women who suffer from heavy menstrual flow and are quite hassled by the same then worry not here are some tips to deal the your problem.

1. Keep a track of the periods as in when they start and the days with heavy bleeding. This helps you to track your next period and prepare yourself well for the same
2. Low iron levels can cause heavy bleeding, thus maintaining the iron levels is a good idea
3. Eating green leafy vegetables and taking multivitamins helps to maintain the iron levels
4. Eat fruit and food with starch to maintain a good sugar level
5. Hydrate yourself as it makes you feel less grumpy and miserable
6. In case of severe cramps take some pain relievers like aspirin and ibuprofen. Even a hot water bottle is a great way to chase the blues and the cramps

7. Get some sleep as one feels tired before the period and the days of the period. Listen to your body and don't push yourselves. Use extra protection in case you are worried about leakage
8. Try using a menstrual cup as they have greater capacity as compared to tampons or pads. Also, one does not need to carry any supplies for the day
9. Don't feel shy or embarrassed to talk about your condition
10. You might need professional help and want to consult a doctor. Keeping a track of your period is good as doctors usually ask for the duration of the period and how heavy were they.
If you do not feel better with these tips a meeting with the doctor can predict the cause of the heavy flow and accordingly a medical treatment can be planned.

Medication for heavy bleeding might include any one or more of the following:
1. Use of nonsteroidal anti-inflammatory drugs like ibuprofen
2. Hormone therapy for stabilizing the endometrium
3. Tranexamic acid to promote blood clotting
4. Dilation and curettage - scraping of the uterus is done
5. Hysteroscopy - A long scope is inserted in the vagina and the lining of the uterus which causes bleeding is removed
6. Endometrial resection - Lining of the uterus is destroyed or removed and also makes it impossible to have babies after this
Following these simple tips is sure to control your bleeding but if you still face issues and problems then consult a doctor.
7. Hysterectomy - This procedure is the surgical removal of cervix and uterus (If this procedure is done then it is impossible to make babies after this) If you wish to discuss about any specific problem, you can consult a gynaecologist.

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