Menorrhagia is a condition characterized by abnormally heavy or extended menstrual bleeding. With menorrhagia, you may have excessive blood loss and pain that disturbs your normal activities.
The most common symptoms of menorrhagia are:
The cause of menorrhagia is not known in some cases; however several conditions that may cause menorrhagia include hormonal imbalance, dysfunction of the ovaries, uterine fibroids(noncancerous (benign) tumours of the uterus), uterine polyps, adenomyosis (where endometrial glands are found in the muscular wall of the uterus), intrauterine devices (IUDs), pregnancy complications, cancer, inherited blood disorders, certain medications (anti-inflammatory medications and anticoagulants), and other medical conditions such as pelvic inflammatory disease (PID), thyroid problems, endometriosis, and liver or kidney disease.
Your doctor will perform a pelvic examination and may recommend other tests or procedures such as a pelvic ultrasound scan or a biopsy of the lining of the womb if the woman is over 40 years of age. Biopsy is a technique of removing a piece of tissue from the inner lining of the uterus which is examined under a microscope. This is done to make sure that the cells are growing normally. Your doctor may also recommend an examination called hysteroscopy, which involves placing a tiny tube with a light through your cervix to obtain a direct view of the lining of the womb.
Treatment options will depend on the cause of menorrhagia, the severity of menorrhagia and the overall health of the patient. Some common treatments include:
Surgery may be needed if medication therapy is not successful. The surgical procedures include:
Hysterectomy, endometrial ablation, and endometrial resection procedures may reduce your ability to become pregnant. Therefore, discuss with your doctor about the treatment options if you plan to become pregnant in the future.