Details Descriptions About :: heavy menstrual bleeding
Heavy menstrual bleeding causes symptoms treatment
Description of Heavy menstrual bleeding
According to dictionary definition Description
Menorrhagia (heavy menstrual bleeding) is defined as excessive and prolonged menstrual bleeding, occurring at regular intervals. Normal menstrual period lasts for 4 to 5 days with 25 to 80 ml of blood loss. Menorrhagia is said to occur when blood loss is greater than 80 ml or if the bleeding lasts for more than 7 days.It is also commonly known as hypermenorrhea. Causes and Risk FactorsAccording to dictionary definition The cause of menorrhagia is usually not identified. Some of the causes that may be associated with the problem include:1. Ovarian endocrine disorder or dysfunctional uterine bleeding (DUB)2. Blood coagulation disorders: Immune thrombocytopenic purpura (ITP), von Willebrand disease3. Drugs such as anticoagulants4. Menopause5. Intrauterine contraceptives devices6. Uterine fibroids7. Endometrial infection8. Endometrial abnormalities, e.g., endometriosis, adenomyosis9. Endometrial carcinoma (cancer of inner lining of uterus)10. Excess anxiety, stress, and tension Signs and Symptoms According to dictionary definition Common symptoms are:1. Menstrual bleeding for more than 7 days2. Excessive bleeding that may soak one or more sanitary pads every hour for a number of hours3. Shortness of breath, tiredness, fatigue during menstrual period4. Large blood clots during menstrual period InvestigationsAccording to dictionary definition Investigations include:1. Pelvic and rectal examination (for any abnormality or cause of bleeding)2. Pelvic ultrasound (to check for any structural abnormality)3. Pap smear (scrapings of cells from inner lining of cervix are examined microscopically for any cancerous changes)4. Endometrial biopsy (to rule out atypical hyperplasia or endometrial cancer)5. Hysteroscopy (endoscopic examination of uterine cavity)6. Bleeding time and coagulation tests7. Platelet function studies8. D&C (dilation and curettage) operation — done to collect scrapings from the inner wall of uterus, which is then examined microscopically for any hormonal abnormality/disorders. TreatmentAccording to dictionary definition 1. In mild cases with less bleeding, no treatment is usually required.2. All patients with menorrhagia are advised bed rest, to avoid exertion, vigorous exercise, anxiety, and tension.3. Medications PrognosisAccording to dictionary definition Prognosis is generally good if the diagnosis and treatment are adequate.