Heavy Menstrual Bleeding
Overview of Heavy Menstrual Bleeding
Heavy Menstrual Bleeding is heavy bleeding of more than 80mL per cycle or which lasts longer than 7 days. Heavy menstrual bleeding which occurs in a cyclic pattern is known as menorrhagia.
Signs and Symptoms of Heavy Menstrual Bleeding
Usage of sanitary pads more than usual, Frequent change of sanitary pads, Bleeding for longer days than usual, Passing blood clots, Pallor, Fatigue, Fainting
Common Causes of Heavy Menstrual Bleeding
Dysfunctional uterine bleeding, Uterine fibroids, Adenomyosis, Chronic tubo-ovarian mass, Pelvic endometriosis, Intrauterine devices, Oral contraceptive use, Hematological disorders, Medications such as anti-inflammatory drugs and anticoagulant drugs, Disturbance in the hypothalamo-pituitary-ovarian-endometrial axis
Risk Factors of Heavy Menstrual Bleeding
Age, Hormonal factors, Presence of bleeding disorders, Certain medications
Investigation Techniques for Heavy Menstrual Bleeding
Full blood count, Vaginal examination, Ultrasound, Pap test, Endometrial biopsy, Hysteroscopy
Treatment and Prevention of Heavy Menstrual Bleeding
Tranexamic acid, Nonsteroidal anti-inflammatory drug (NSAID), Combined oral contraceptives, Oral progesterone, Treating underlying condition
