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Menorrhagia is defined as grave catamenial bleeding of over 80 milliliters of descent in one bicycle or twice the normal amount . The haemorrhage is so significant that it affects women ’s daily natural process . The bleeding lasts more than 7 twenty-four hour period and it take the char to change her tampons and pads every 2 hr or more . The blood loss is also associated with passage of large clots . This passing of blood can head toanemiaalong with severe weakness .
How Is Menorrhagia Treated?
intervention of hypermenorrhea is given according to the history of the case-by-case safekeeping in mind the patient ’s old age , her co - existent medical conditions , family history and most importantly her desire for fertility . Medication cost and adverse burden should also be keep in mind because of patient ’s complaisance . Your woman’s doctor will do a physical examination and some tests and operation as well if they are demand .
A sample distribution of your blood will be taken and tested for iron lack anemia and other conditions such as thyroid disorder or shed blood disorderliness . A nipple smear is done in which cervical cell are collected and tested for infection , inflammation or changes that might be indicative of carcinoma . Endometrial biopsy is done to front for uterine cells abnormality . Ultrasounduses vocalise waves to produce the images of uterus ovary and pelvis . Further testing is done found on the outcome of these procedures .
Sonohysterography is done to look for further problem in the uterus where a fluid is injected into the womb by way of your vagina and cervix using a underground . After this an ultrasound is done to count for problems in the lining of the uterus . Hysteroscopy involves using a thin lighted official document to see the interior of the womb and examine it for any abnormal changes .
Treatment for menorrhagia depends on how serious the haemorrhage is ; the lawsuit of haemorrhage , your wellness and medical history . The basic handling for hypermenorrhea includes branding iron supplements to correct anaemia , non steroidal anti - incendiary drugs ( NSAIDs)such as isobutylphenyl propionic acid ( Advil , Motrin IB ) or naproxen Na are to treatmenstrual cramps(dysmenorrhea ) and reduce amount of bleeding , parturition control pills to slump unorthodox catamenia and reduce episodes of excessive or prolonged menstrual haemorrhage , hormonal intrauterine gadget ( Liletta , Mirena that unfreeze a type of progestin called levonorgestrol , which makes the uterine lining thin and decreases catamenial blood flow and cramping ) , internal secretion therapy with unwritten progesterone help in make up imbalance and reduce hypermenorrhea .
Surgery For Menorrhagia
Surgical procedures for menorrhagia let in dilatation and curettage ( D&C ) where the uterine cervix is open up by the doctor keep up by scraping and suctioning of the tissue from the lining of the uterus to reduce catamenial bleeding . Uterine artery embolisation is mostly done in people who have fibroids to cringe them and block the uterine arteries by rationalise off the profligate supply to fibroid . focussed echography surgery is done to shrink the fibroids by ruin them with ultrasound wave . Myomectomy call for removal of uterine fibroids either through the vagina or through modest slit laparoscopically . Endometrial ablation destroys the facing of the uterus using a optical maser radiofrequency or heat is applied to the endometrium to destroy the tissue paper . Endometrial resection also involves the remotion of liner of uterus . Hysterectomy ( removal of uterus ) is done where the family is complete to break full point .
Causes of Menorrhagia
Menorrhagia is mostly due to hormonal imbalance of Lipo-Lutin and estrogen . It can pass off with or without ovulation . It mostly pretend girls who have recently started flow or women approaching change of life . When there is a fluctuation in hormone stratum the endometrial shedding is increased and expectant catamenial bleeding take place . Other causes include ovarian dysfunction where the ovary does not put out the bollock and hence no production of progesterone is there . Uterine fibroid tumor , uterine polypus , endometriosis , non - hormonal intrauterine gadget , pelvic seditious diseases , pregnancy related complications , genus Cancer of uterus , cervix and ovary , inherited leech disorders , and certain medications can all lead to hypermenorrhea . In some case thyroid disorderliness , endometriosisand kidney or liver diseases can touch off menorrhagia .
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