Heavy Menstrual Bleeding: Management

The causes of heavy menstrual bleeding and how to manage the occurrence is what we will discuss today. It is a widespread grievance among some of the women of reproductive age. The bleeding can both be improved (heavy) or prolonged. This situation is known medically as menorrhagia.

What is Heavy Menstrual Bleeding

HMB is when a woman suffers a blood loss of extra than eighty ml in a single menstrual period. I know you would be wondering how you’ll calculate the blood loss. In simple terms, you could say a female has Heavy menstrual blood if she makes use of greater than 16 Soaked sanitary pads (on the average) or lasts more than seven days or both in a single menstrual length.
However, there’s no guaranteed manner of saying how tons menstrual waft is heavy. Most women have a way of understanding how tons of bleeding are regular for them and can tell when it changes.

Causes of Heavy Menstrual Bleeding

It approximately depends on your concept, which tells you that you’re losing the right amount of blood than usual.

Causes of Heavy Menstrual Bleeding

HMB can be because of either hormonal or structural reasons. That is, it can be resulting from an imbalance in the body hormones, or by using a boom inside the womb. A few of the common reasons for HMB include;

1. Fibroids: This is a usual reason for elevated menstrual bleeding beyond normal. Fibroids are a benign increase in the uterus (womb) of a lady. They are Oestrogen sensitive. You can read more about fibroids here. One of the not unusual signs and symptoms is heavy bleeding at some stage in your menses.
2. Adenomyosis: This is accountable for heavy menstrual bleeding in some women. Adenomyosis is a condition wherein endometrial tissues are observed deep within the myometrium.

These are the two not surprising reasons for HMB. Other reasons are;
3. Endometrial polyps: a form of boom inside the Endometrium of the womb.
4. Coagulation disorders: a hassle with the blood that affects its potential to clot. People with this problem can bleed out if nothing is done.
5. Pelvic inflammatory disease (PID): a hassle of infections. If untreated can lead to infertility. Read about this here.
6. Thyroid disease: because of possible over-interest of the gland.
7. Drug therapy (e.g. Warfarin): impacts the potential of blood to clot.
8. Intrauterine devices (IUDs): might have been inserted for contraceptive benefits.
9. Endometrial Cancer: This is a cancer of the Endometrium of the Uterus (Womb).

10. Cervical cancer: that is a malignant condition and must be taken seriously. Read about this here.

Management: What to do

Ladies experiencing Heavy menstrual bleeding are asked to go to the hospital and see a health practitioner (especially a gynaecologist). Your doctor could have a look at you to find out the reason for the elevated bleeding, and he/she could manual you at the available remedy alternatives depending at the suspected purpose.

Your physician could perform a pelvic examination (to test for masses) as well as cervical examination (to check for polyps or most cancers). He/she may take swabs to screen for infections.


For some girls, the quantity of blood this is being misplaced is ordinary for them. Our issues are with individuals who noticed an accelerated amount of loss more recently. For example, you do use 10-12 pads throughout a duration before, and all of a sudden, you are now using up to 16-18 pads. That change is a reason for concern.

Different treatment options are to have for the management of the Heavy Menstrual Period. The choice and choice of remedy rely on the reason for the increased bleeding as well as of the female still wants to have more children.

Medications available for HMB includes;

Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs, such as ibuprofen, help reduce menstrual blood loss. They additionally have the additional advantage of relieving menstrual cramps.

LNG-IUS: a Form of Hormonal Contraception
Transexmic acid/mefenamic acid or combined oral contraceptive pill (COCP).

The surgical option includes:

Endometrial ablation.
Myomectomy, Hysterectomy, or umbilical artery embolization (UAE) for fibroids,
Your health practitioner would explain each of them to you, and additionally direct you on the pleasant opportunity for you.
Note, do not pick surgical options if you still have a desire to have extra children.

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