Menorrhagia (heavy menstrual bleeding) - Symptoms and causes - Mayo Clinic
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Your doctor also will do a pelvic exam and might tell you about other tests that can be done to help find out if you have menorrhagia. Click here to view a larger image Tests Your doctor might tell you that one or more of the following tests will help find out if you have a bleeding problem: In this test, your blood will be taken using a needle. It will then be looked at to check for anemia, problems with the thyroid, or problems with the way the blood clots.
Heavy Menstrual Bleeding
For this test, cells from your cervix are removed and then looked at to find out if you have an infection, inflammation, or changes in your cells that might be cancer or might cause cancer. You might feel as if you were having a bad menstrual cramp while this test is being done.
But, it does not take long, and the pain usually goes away when the test ends.
This is a painless test using sound waves and a computer to show what your blood vessels, tissues, and organs look like. Your doctor then can see how they are working and check your blood flow. Using the results of these first tests, the doctor might recommend more tests, including, Sonohysterogram.
This ultrasound scan is done after fluid is injected through a tube into the uterus by way of your vagina and cervix.
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This lets your doctor look for problems in the lining of your uterus. Mild to moderate cramping or pressure can be felt during this procedure. This is a procedure to look at the inside of the uterus using a tiny tool to see if you have fibroids, polyps, or other problems that might be causing bleeding. This is a procedure or test that can be used to find and treat the cause of bleeding.
Most often it is done in an operating room, but you will not have to stay in the hospital afterwards. You might be given drugs to make you sleep during the procedure, or you might be given something that will numb only the area to be worked on. Treatment The type of treatment you get will depend on the cause of your bleeding and how serious it is. Your doctor also will look at things such as your age, general health, and medical history; how well you respond to certain medicines, procedures, or therapies; and your wants and needs.
For example, some women do not want to have a period, some want to know when they can usually expect to have their period, and some want just to reduce the amount of bleeding.
Some women want to make sure they can still have children in the future. Others want to lessen the pain more than they want to reduce the amount of bleeding. Some treatments are ongoing and others are done one time. You should discuss all of your options with your doctor to decide which is best for you. Following is a list of the more common treatments. Drug Therapy Iron supplements. To get more iron into your blood to help it carry oxygen if you show signs of anemia.
To help reduce pain, menstrual cramps, and the amount of bleeding. To help make periods more regular and reduce the amount of bleeding. To help make periods more regular and reduce the amount of bleeding through drug-releasing devices placed into the uterus. To reduce the amount of bleeding. Antifibrinolytic medicines tranexamic acid, aminocaproic acid. To reduce the amount of bleeding by stopping a clot from breaking down once it has formed.
A procedure in which the top layer of the uterus lining is removed to reduce menstrual bleeding. This procedure might need to be repeated over time. Adenomyosis Adenomyosis With adenomyosis, the same tissue that lines the uterus endometrial tissue is present within and grows into the muscular walls of your uterus.
In some cases, the cause of heavy menstrual bleeding is unknown, but a number of conditions may cause menorrhagia.F2P vs Heavy
In a normal menstrual cycle, a balance between the hormones estrogen and progesterone regulates the buildup of the lining of the uterus endometriumwhich is shed during menstruation. If a hormone imbalance occurs, the endometrium develops in excess and eventually sheds by way of heavy menstrual bleeding.
A number of conditions can cause hormone imbalances, including polycystic ovary syndrome PCOSobesity, insulin resistance and thyroid problems. Dysfunction of the ovaries. If your ovaries don't release an egg ovulate during a menstrual cycle anovulationyour body doesn't produce the hormone progesterone, as it would during a normal menstrual cycle.
This leads to hormone imbalance and may result in menorrhagia. These noncancerous benign tumors of the uterus appear during your childbearing years.
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Uterine fibroids may cause heavier than normal or prolonged menstrual bleeding. Small, benign growths on the lining of the uterus uterine polyps may cause heavy or prolonged menstrual bleeding. This condition occurs when glands from the endometrium become embedded in the uterine muscle, often causing heavy bleeding and painful periods.
Menorrhagia is a well-known side effect of using a nonhormonal intrauterine device for birth control. Your doctor will help you plan for alternative management options. For women whose menorrhagia is caused by fibroids, the goal of this procedure is to shrink any fibroids in the uterus by blocking the uterine arteries and cutting off their blood supply. During uterine artery embolization, the surgeon passes a catheter through the large artery in the thigh femoral artery and guides it to your uterine arteries, where the blood vessel is injected with materials that decrease blood flow to the fibroid.
Similar to uterine artery embolization, focused ultrasound surgery treats bleeding caused by fibroids by shrinking the fibroids. This procedure uses ultrasound waves to destroy the fibroid tissue.
There are no incisions required for this procedure. This procedure involves surgical removal of uterine fibroids. Depending on the size, number and location of the fibroids, your surgeon may choose to perform the myomectomy using open abdominal surgery, through several small incisions laparoscopicallyor through the vagina and cervix hysteroscopically.
This procedure involves destroying ablating the lining of your uterus endometrium. The procedure uses a laser, radiofrequency or heat applied to the endometrium to destroy the tissue. After endometrial ablation, most women have much lighter periods.
Pregnancy after endometrial ablation has many associated complications. If you have endometrial ablation, the use of reliable or permanent contraception until menopause is recommended. This surgical procedure uses an electrosurgical wire loop to remove the lining of the uterus. Both endometrial ablation and endometrial resection benefit women who have very heavy menstrual bleeding. Pregnancy isn't recommended after this procedure. Hysterectomy — surgery to remove your uterus and cervix — is a permanent procedure that causes sterility and ends menstrual periods.
Hysterectomy is performed under anesthesia and requires hospitalization. Additional removal of the ovaries bilateral oophorectomy may cause premature menopause. Many of these surgical procedures are done on an outpatient basis. Although you may need a general anesthetic, it's likely that you can go home later on the same day.
An abdominal myomectomy or a hysterectomy usually requires a hospital stay. When menorrhagia is a sign of another condition, such as thyroid disease, treating that condition usually results in lighter periods. Request an Appointment at Mayo Clinic Clinical trials Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease. Preparing for your appointment If your periods are so heavy that they limit your lifestyle, make an appointment with your doctor or other health care provider.
Here's some information to help you prepare for your appointment and what to expect from your provider. What you can do To prepare for your appointment: Ask if there are any pre-appointment instructions. Your doctor may ask you to track your menstrual cycles on a calendar, noting how long they last and how heavy the bleeding is.
Write down any symptoms you're experiencing, and for how long. In addition to the frequency and volume of your periods, tell your doctor about other symptoms that typically occur around the time of your period, such as breast tenderness, menstrual cramps or pelvic pain.
Write down key personal information, including any recent changes or stressors in your life. These factors can affect your menstrual cycle.