Menstrual bleeding is a normal condition but if heavy menstrual bleeding, you will need to pay attention to it. You will need to understand about this excessive bleeding situation.

Excessive Menstrual Bleeding Blood (menorrhagia)

Heavy menstrual bleeding of menorrhagia means more than 80ml per menstrual cycle. It is difficult to determine objectively excessive bleeding, but if bleeding is causing trouble and a woman’s quality of life is compromised, it can be classified as menorrhagia. These include forced to use two pads at once, or bleeding spill to fabric or mattress.   

Causes of Heavy Bleeding

In most cases, no specific reason to what causes someone to be having heavy menstrual bleeding than usual. But we can be identified them as :

• Hormonal disturbances causing uterine bleeding
• Cervical or uterine polyps (growths from the lining of the uterus but not cancer or cervical)
• Endometrial (lining of the uterus is found outside the uterus is abnormal)
• Fibroids (smallpox from the muscles of the uterus)
• Deficiency or excess secretion of thyroid hormone by the thyroid gland

Other causes:

• Beginning of puberty or menstruation
• IUCD (tool to prevent pregnancy in the uterus)
• Cystic glandular hyperplasia (the problem of a thick uterine lining)
• Pelvic inflammatory disease (PID), chronic (PID hyperlink)
• Polycystic ovarian syndrome (PCOS)

The causes are rare:

• Pituitary gland problems, or excessive secretion of the hormone prolactin.
• Liver or kidney disease
• Blood diseases
• Endometrial Cancer
• TB endometrium (lining of the uterus TB)

Some medications can cause a lot of bleeding, such as drugs that can dilute the blood or chemotherapy (for cancer). Patient with asked for their diagnosis history in order to find the reasons for bleeding (as above). You will be asked how many sanitary napkins (pads) used per day including other symptoms (such as anemia, etc.). You may be asked to fill in a chart form that can help give a brief description of menstrual blood rate you are experiencing.

A blood test can detect anemia (anemia), which can be caused by the excessive bleeding. Ultrasound tests can detect uterine fibroids, polyps or cancer. If your doctor is unable to detect the causes of bleeding, you will be referred to a gynecologist for further treatment.

Treatment 

Treatment Through Medication

Tranexamic acid is the most potent drugs. It can reduce bleeding and taken on the days of menstruation only. It does not reduce the timing of bleeding, but more to reduce the quantity of bleeding. Other drugs such as anti-inflammatory (mefenamic acid – Ponstan) can also be used. It may be less effective than tranexamic acid, but can reduce menstrual pain. Contraceptives can reduce excessive menstrual bleeding, menstrual pain, and at the same time prevent pregnancy.

Treatment By Surgery

Surgery also include surgery to remove the uterus (hysterectomy) or removal of the womb lining (endometrium). This procedure removes the uterus lining called endometrial ablation. Ablation include combustion with electricity or microwave. Those who underwent hysterectomy surgery will not experience bleeding again, but the need for surgery has to be balanced the cost of expensive and other side effects. endometrial ablation is a good choice if the patient does not want to undergo hysterectomy. Ablation treatment using microwave oven is available at most major hospitals.

P/S: Consult your doctor about any alternative solution to this problem. Proper diagnostic needs to be sought after before major decision to be made especially the surgery procedure. Also, please consider the consequences of surgery, because once it’s done, it may affect your chances of conceiving babies and for hysterectomy, you will not be able to conceive anymore.

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