those with Heavy Menstrual Flow - Gynecology

What is Heavy Menstrual Flow?

Heavy menstrual flow, also known as menorrhagia, is characterized by excessively heavy or prolonged periods. It can significantly impact a woman's quality of life, causing discomfort and sometimes leading to anemia.

Causes of Heavy Menstrual Flow

There are various causes for heavy menstrual flow, including:

Symptoms Associated with Heavy Menstrual Flow

Women with heavy menstrual flow may experience:
Soaking through one or more sanitary pads or tampons every hour for several consecutive hours
Needing to use double sanitary protection
Waking up to change sanitary protection during the night
Bleeding for more than a week
Passing large blood clots
Restricting daily activities due to heavy menstrual flow
Symptoms of anemia such as fatigue, weakness, and shortness of breath

When to See a Doctor

You should consult a gynecologist if you experience:
Heavy bleeding that requires changing sanitary protection every hour
Periods lasting longer than seven days
Severe pain during menstruation
Bleeding between periods or after menopause
Symptoms of anemia

Diagnosis of Heavy Menstrual Flow

To diagnose the cause of heavy menstrual flow, a gynecologist may recommend:

Treatment Options

Treatment depends on the underlying cause, severity, and individual patient factors. Common treatment options include:
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Tranexamic acid
Hormonal therapy such as oral contraceptives, progestin, or hormonal IUDs
Iron supplements for anemia
Surgical options like Dilation and Curettage (D&C), Endometrial Ablation, Myomectomy, or Hysterectomy

Preventive Measures

Although not all cases of heavy menstrual flow can be prevented, some measures might help reduce the risk:
Maintain a healthy diet and weight
Manage stress effectively
Regular exercise
Avoid smoking
Regular gynecological check-ups

Conclusion

Heavy menstrual flow is a common issue that can impact daily life and health. Understanding the causes, symptoms, and treatment options can help manage this condition effectively. If you experience any concerning symptoms, do not hesitate to seek medical advice from a gynecologist.

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