Menorrhagia, a condition that affects many women.
Prolonged or painful menstrual periods are the most common type of abnormal uterine bleeding in menstruating women. These periods are considered heavy if the woman has enough blood to soak a towel or a tampon every hour for several consecutive hours.
Other symptoms of an intense and painful period may include:
- Bleeding during the night that requires having to get up to change sanitary pads or tampons.
- Eliminate large blood clots during menstruation.
- A menstrual period that lasts more than seven days. In severe cases, heavy menstruation may interfere with sleep and daily activities.
- Loss of blood for prolonged periods can also lead to anemia, which causes symptoms such as fatigue and shortness of breath.
Why does menorrhagia occur?
There are many possible causes of heavy menstrual bleeding. They include:
- The hormonal imbalance, especially in estrogen and progesterone; hormonal imbalance that can also occur if there is a problem in the function of the ovaries.
- Fibroids or non-cancerous tumors of the uterus; These fibroids usually occur during the reproductive years.
- Miscarriage or ectopic pregnancy – the implantation of a fertilized ovum outside the uterus, for example in the fallopian tube.
- The use of anticoagulants.
- Problems with a non-hormonal intrauterine device (IUD) that is used for birth control.
- Pelvic inflammatory disease (PID), which occurs as the infection of the uterus, the fallopian tubes and the organs of the entire reproductive system.
- Cervical and ovarian cancer; These are rare but possible causes of heavy menstrual bleeding.
- Other medical conditions that can prevent normal blood clotting, including liver, kidney or thyroid disease, and bleeding or platelet disorders.
Is there any treatment for menorrhagia?
If you are having heavy menstrual bleeding, it is important to consult your doctor to determine the cause. The treatment will depend on the cause of the bleeding.
Medication treatment for menorrhagia may include one or more of the following:
- Anti-inflammatory drugs without steroids such as ibuprofen and naproxen to reduce the amount of blood loss and help with pain.
- Hormone therapy to stabilize the endometrium (lining of the uterus), to regulate menstrual cycles, or hormonal imbalances.
- The hormone that secretes the IUD (Mirena).
- Lysteda (tranexamic acid), a non-hormonal medication that promotes the coagulation of blood.