Menorrhagia is an abnormally abundant menstruation, i.e. menstruation that lasts for more than seven days, with large blood clots coming out or with very severe bleeding. The cause of menorrhagia is often the hormone disorder that manages the menstrual cycle. Menorrhagia can also be the result of diseases such as myoma, endometriosis or pelvic infection. Menorrhagia can also be caused by intrauterine contraceptives.
Menorrhagia is a common disorder, and affects regularly or occasionally (by estimates) 5 to 10% of women. It is especially common in women who are closer to menopause.
Apart from the discomfort, menorrhagia can be both intensified and dangerous; namely, regularly severe menstrual bleeding can lead to sideropenic (iron deficiency) anemia due to regular blood loss, so make sure you have enough iron in your diet.
What to do?
If you have abundant menstrual periods for some time, consult your doctor. Apply the lower recommended self-help measures for one unusually abundant period. However, even if this abundant period of menstruation is extremely late, and if you are pregnant, it is possible that you had a spontaneous abortion. In this case, immediately go to your doctor.
The doctor will examine you, examine the strength of the bleeding and check for any abnormalities in the uterus. Additional blood test may be required in order to determine if you have become anemic due to menorrhagia.
Self-help: if you had an unusually severe period, and you are certain that you are not pregnant, you should lie down and take the plivalgin (if you feel any pain). After 24 hours, if you are still bleeding, call a doctor.
Professional help: if a doctor does not find any abnormalities in your uterus, he will probably give you a contraceptive estrogen-progestagen pill to reduce bleeding. If you are already taking pills or if the pills can’t apply in your case, your doctor will prescribe another drug with the same effect. If you are having intrauterine device, your doctor will probably advise you to apply some other contraceptive method. Finally, if the blood tests show you are anemic, you will have to take iron supplements. If the treatment does not improve the condition after several months, your doctor will probably send you to dilatation and catheterization, to check if the cause of menorrhagia is a disease. This usually solves the problem, even if the tests didn’t show any disorder. Ultimately, if menorrhagia reoccurs despite all the above mentioned measures, the only solution may be removal of the uterus.