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.
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
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
Uterine artery embolization
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.