Menorrhagia

Menorrhagia Specialist
For those who suffer from menorrhagia, or heavy menstrual bleeding, every period may be a stressful experience. There are many ways to treat the condition, so make an appointment with Gemini OBGYN in Pembroke Pines and Weston, Florida, to discuss your options with a health care professional.

Menorrhagia Q & A

What conditions define menorrhagia?

Menstrual bleeding is considered heavier than normal when one or more of the following conditions occur:

  •         Using one or more tampons or sanitary pad every hour for several hours
  •         The need to double up on sanitary protection to control menstrual bleeding
  •         Waking up in the night to change pads or tampons
  •         Periods of bleeding lasting more than a week
  •         Passing blood clots more than one day of the period
  •         Anemia, typically indicated by tiredness, fatigue, and shortness of breath

What causes menorrhagia?

Common conditions that give rise to menorrhagia include:

  • Blood coagulation disorders
  • Complications with pregnancy
  • Hormone imbalances between estrogen and progesterone
  • Medical conditions such as pelvic inflammatory disease, endometriosis, and thyroid problems
  • Non-hormonal IUDs
  • Ovary dysfunction: if ovulation doesn’t occur, no progesterone is produced and an imbalance occurs
  • Some medications, including anti-inflammatories and anticoagulants
  • Uterine fibroids or polyps

How is menorrhagia treated?

Treatment is based on what’s causing the problem as well as an assessment of the patient’s health. Drug therapy solutions include:

  •         Nonsteroidal anti-inflammatory drugs, or NSAIDs, help reduce menstrual blood flow with the added benefit of pain relief
  •         Oral contraceptives regulate the menstrual cycle and may reduce prolonged or excessive bleeding
  •         Oral progesterone may be helpful to restore hormone balance, which may stop menorrhagia
  •         An intrauterine device that releases progestin
  •         Tranexamic acid, a medication that helps decrease the blood loss
  •         Iron supplements may offset the symptoms or onset of anemia

Surgical treatments of menorrhagia include:

  •         Dilation and curettage
  •         Ultrasound ablation to shrink fibroids, if they’re causing the bleeding
  •         Endometrial ablation
  •         Uterine artery embolization
  •         Hysterectomy

When menorrhagia results from another condition, such as thyroid disease, treating the precipitating condition usually reduces menstrual blood flow. Call or schedule an appointment online at Gemini OBGYN.

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