Menorrhagia is a condition characterized by abnormally heavy or extended menstrual bleeding. With menorrhagia, you may have an adequate 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 complication, 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 do 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 and 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:
Oral progesterone may be given to help correct hormonal imbalance and reduce menorrhagia.
Surgery may be needed if medication therapy is not successful. The surgical procedures include:
Endometrial ablation: It is a procedure that permanently destroys the entire lining of your uterus (endometrium) resulting in little or no menstrual flow.
Dilation and curettage (D&C): It is a procedure in which the cervix is dilated and the lining of the uterus is scraped to reduce menstrual bleeding. You may need additional D&C procedures if menorrhagia recurs.
Hysterectomy: It is a surgical removal of the uterus and the cervix that leads to infertility and the cessation of menstrual periods.
Hysteroscopy: This procedure involves the use of a hysteroscope, a tiny tube with a light to view your uterine cavity and to remove abnormalities such as a polyp that may be causing heavy menstrual bleeding.
Endometrial Resection: It is a surgical procedure that uses an electrosurgical wire loop to remove the lining of the uterus.
Surgical procedures hysterectomy, endometrial ablation, and endometrial resection 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.