If you are experiencing excessive exhaustion or changing pads or tampons every hour, you may have menorrhagia, a condition marked by very heavy menstrual bleeding. This article will explore the causes of menorrhagia, its symptoms, and how you can effectively manage the condition and restore balance to your menstrual health.
Menorrhagia: What is it?
Menorrhagia refers to unusually heavy or prolonged menstrual periods. A normal menstrual cycle lasts 3-7 days and involves 25-80 millilitres of blood loss. If you’re experiencing periods that last longer than 7 days or involve excessive blood loss (more than 80 millilitres), you may be dealing with menorrhagia. It’s important to identify the underlying cause to treat it effectively.
Causes of Menorrhagia
● Hormonal imbalance: Unbalanced levels of progesterone and estrogen can cause excessive endometrial development, which can result in heavy bleeding.
● Uterine Fibroids: Heavy menstrual bleeding may be caused by non-cancerous growths in the uterus.
● Endometriosis: Pain and heavy periods are caused by tissue that resembles the uterus lining that is growing outside of it.
● Adenomyosis: Heavy bleeding results from the uterine lining growing into the uterine muscle.
● Medical Conditions: Menorrhagia can also be due to conditions such as liver illness, thyroid disease, or blood clotting issues.
● Excessive menstrual bleeding lasting more than 7 days.
● Fatigue and weakness due to blood loss.
● Painful periods (dysmenorrhea).
● Passing large clots during menstruation.
● Interference with daily activities due to the severity of bleeding.
Treatments for Menorrhagia
The underlying cause and severity of menorrhagia determine the treatment course.
● Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help with pain and reduce blood loss. IUDs and birth control pills are examples of hormonal treatments that can control periods.
● D&C (Dilation and Curettage): A procedure where the lining of the uterus is removed to stop heavy bleeding.
● Uterine Artery Embolization: A non-surgical procedure that shrinks fibroids and reduces bleeding.
● Hysterectomy: In severe cases, the uterus may be removed if other treatments fail.
Myths About Menorrhagia
1. Myth: “Heavy periods are normal for all women.”
● Truth: While some women experience heavy periods, consistent heavy bleeding is a medical condition and should not be ignored.
2. Myth: “You have to live with menorrhagia.”
● Truth: There are effective treatments available for managing menorrhagia, and women don’t have to endure it without seeking medical help.
3. Myth: “Hormonal treatments for menorrhagia will make you gain weight.”
● Truth: No, hormonal treatments regulate menstrual cycles and manage heavy bleeding without causing much weight gain.
FAQ
How is menorrhagia diagnosed?
A pelvic exam, ultrasound, or endometrial biopsy may be performed to identify the cause of heavy bleeding.
Can menorrhagia be treated without surgery?
Yes, medications like birth control pills, hormone therapy, and NSAIDs are effective treatments for menorrhagia.
How does menorrhagia affect fertility?
Menorrhagia itself does not directly cause infertility, but underlying conditions like fibroids or endometriosis may affect fertility.
Are big blood clots passing during menstruation normal?
Passing occasional blood clots is normal, but large clots or clots that are accompanied by heavy bleeding may indicate menorrhagia.
Disclaimer:
This article is for educational purposes and should not replace professional medical advice. Always consult your healthcare provider for a diagnosis and personalised treatment plan.
How HealthPil Can Help:
At HealthPil, we connect you with gynaecologists who specialise in menstrual health and can help diagnose and treat menorrhagia. Book a consultation with our experts today for effective treatment options.