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Heavy Periods: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Heavy menstrual bleeding or menorrhagia is associated with the soaking of a tampon or pad every hour or less than that during every menstrual cycle. For women, heavy periods are a huge impediment to their usual lifestyle. This is not the only problem related to heavy menstrual bleeding. It is more than just a schedule buster. This can also lead to iron-deficient anemia which is the most common threat related to heavy periods. It is true that most cases of iron deficiency are treated with oral iron supplements, on the other hand there is another fact that severe vaginal bleeding in women makes her entire volume of blood drop, causing severe fatigue, heart palpitations and shortness of breath that require immediate hospitalization. Most health care specialists suggest a medical therapy before moving to other alternatives which are generally more invasive, in case of a need of relief from heavy periods. Depending on your medical history, your doctor will discuss with you certain medical therapies.

There are a few medical options available for the treatment of heavy menstrual bleeding. These include the intake of nonsteroidal anti-inflammatory drugs, progestin, oral contraceptives, danazol, intrauterine device (IUD), and gonadotropin-releasing hormone agonists (GnRH agonists). Surical options comprise of hysterectomy, and endometrial ablation.

How is the treatment done?

Nonsteroidal anti-inflammatory drugs which involve ibuprofen (Motrin) and naproxen (Aleve) are known to work by bringing down the level of prostaglandins which are hormone-like chemicals that disrupts the clotting of blood. Studies have found that they reduce the blood flow to an average of 25 – 35 percent. Danazol on the other hand, is a male testosterone that works by blocking the estrogen action in your body. As a result your periods will stop in four to six weeks.

The majority of women facing heavy periods do not need a vaginal hysterectomy, still there are many women who opt for this surgical methodology which is also a frequent recommendation by specialists as a treatment option. This procedure is characterized by the removal of uterus and as a result the periods stop. While this procedure is quite effective in ending the menstrual bleeding, hysterectomy is a huge surgical procedure that requires hospitalization and several weeks of recuperation. In addition, this process is linked with multiple complications (infection being the most common out of all). In such a case, you must fully consult your health care provider to explain the potential risks and benefits associated to the surgery, along with how the process is carried out. Though certain women prefer hysterectomy to all the remaining surgical processes, you must be fully assured by understanding all the available options before making a choice.

Who is eligible for the treatment? (When is the treatment done?)

A woman with a normal sized uterus is eligible for the surgical procedure of vaginal hysterectomy. Women who do not want to have children in future are eligible for receiving both the medical and surgical treatment.

Who is not eligible for the treatment?

A woman who has a large sized uterus is not eligible for the surgical procedure of vaginal hysterectomy. Girls under the age of 18 are precluded from receiving the treatment. Women who are planning to have a family in future and bear children are also precluded from receiving the treatment. Patients with an underlying medical condition which is still untreated are not eligible for the treatment.

Are there any side effects?

Non-steroidal anti-inflammatory drugs help to reduce pain. But some of the side-effects of using these drugs are indigestion and other gut problems, headaches, dizziness and drowsiness. On the other hand, the side effects of the surgical procedure include infection, injury to nearby organs, heavy bleeding, pain during intercourse, early menopause (in case the ovaries are removed), blood clot in the lungs or legs, and breathing or heart problems.

What are the post-treatment guidelines?

Be sure to follow the instructions of your health care provider. Your gynecologist will advise you to take proper rest, but you also need to move here and there as often as you can. Taking short walks and increasing the distance of your walks gradually will prove beneficial after the surgical treatment. Your doctor will ask you to strictly avoid lifting heavy objects until he finally allows you to do so. You must not put anything in your vagina for the first 6 weeks. This includes sexual intercourse, douching, and the usage of tampons. After full recovery, you should regularly visit your gynecologist for general health care tips and routine examinations. Depending on the reason behind the surgical process, there may a need of cervical cancer screening and pelvic exams.

How long does it take to recover?

Treatment through medications will be comparatively longer than that of surgery. It may take 4 to 6 weeks to recover from medications like nonsteroidal anti-inflammatory drugs. You are likely to be asleep during the whole surgical process and will spend the next 48 hours in the hospital. A significant pain will be felt for the first 24 hours followed by a mild pain for the next 10 days. It usually takes 4 weeks for full recovery from this surgery.

What is the price of the treatment in India?

The cost of the surgical procedure ranges between Rs. 1,50,000 to Rs. 1,85,000. On the other hand, the cost of medications ranges between Rs. 50 to Rs. 500.

Are the results of the treatment permanent?

Only the result for the surgical process will be permanent. Treatment through medications and drugs is more likely to cause a relapse. You may undergo heavy menstrual bleeding again if the lifestyle measures are not altered from the previous ones.

What are the alternatives to the treatment?

There are a number of home remedies and natural treatments available for menorrhagia. These include cinnamon (preparation of tea by steeping a cinnamon stick in boiling water and having it each morning), mustard seeds (the intake of mustard powder with milk each morning before or during the menstrual cycle), consumption of food items induced with omega-3 (flaxseed oil and fish), and licorice (consumption of licorice powder with water daily for 4-5 days).

Popular Questions & Answers

I am a mother of 5 month old baby. I have been advised to take supracal hd for a period of 6 months post delivery. In this covid times many are advising to have vit d3 capsule to boost immunity. Can I take the vit d3 capsule 60k one a week and a multivitamin with my regular medicines? I am breastfeeding my baby.

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
Take it as daily 2000 units before food.

I try to sex with my partner last jan 2021 .but there is no penetrate sex we just try but after 7 day I saw some white coating inside my vagina by I am worried and touch it with nail. I am also worried that m pregnant that's why I drink lots ginger water. Condition getting worst some cortege cheesy discharge m too much itching continue. But after 17 day m period start on correct date. After period discharge and some itching continue. After one weak ofmy period I choose to go homeopathy treat meant every three ng is gone but discharge continue some back pain also occur. When m get frustrated abut discharge I just quit the homeopathy and meet my gyno. I am unmarried .so she doesn't exmine me and told me that m suffering for m yeast is infection she took medicine and 80 present m feel relief but some discharge continue which was finished after next month period. But after someday I had shave n than itching and more discharge start my gyno gave me fluconazole and ornidazole tablet course my itching is gone but discomfort abut discharge and burning at time urination, and feeling not to touch vagina because friction produce irritation feel. My legs feel so much heat I drink plenty of water. My stool is so hard so I also feel some discomfort at anus gyno said discharge is normal but m worried why I feel so like this my vndrl urine sugar test is normal. I totally confused please suggest me that discharge is normal to remove infection and produce heat from body after taking medicine .or something else please suggest.

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
Hi if it is just white discharge there is no need for you to worry it is normal absolutely and the vagina itself has its home cleaning mechanism to push it out now if you have foul smelling discharge and if it is irritating any change then you nee...
1 person found this helpful

How to take dronis 30 for. Irregular periods and pcod problem previous month I got my period at 14 april from 2nd day of my period I start taking dronis 30 now it's been 21 and my tablet is also finish so should I continue the tablet from today onwards for next 21 days or should I wait please prescribe be the procedure to take the tablet dronis 30.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
There are two ways - so ask treating doctor. Either gap of 1 week and then to start new packet or new packet to be started from 5 th day of period.

I am taking deviry for my pcod and to get periods. I have taken deviry on 21st april and I got my period on 2nd may. It is my 7th day still I am getting periods when it wil stop? It is normal? Because this is the only time I got this prior always my period last up to 5 days only. Please suggest.

MS OBG
Gynaecologist, Guwahati
It depends on how many months you didn't get your periods before taking deviry. If there is still heavy bleeding, start krimson 35 for 21 days and repeat the same for 2 more cycles.

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