menorrhagia
Diseases & Conditions
Menorrhagia (heavy menstrual bleeding)
Symptoms & causes
Diagnosis & treatment
Doctors & departments
Print
Diagnosis
Sonohysterography
Hysteroscopy
Your doctor will most likely ask about your medical history and menstrual cycles. You may be asked to keep a diary of bleeding and nonbleeding days, including notes on how heavy your flow was and how much sanitary protection you needed to control it.
Your doctor will do a physical exam and may recommend one or more tests or procedures such as:
Blood tests.
A sample of your blood may be evaluated for iron deficiency (anemia) and other conditions, such as thyroid disorders or blood-clotting abnormalities.
Pap test. In this test, cells from your cervix are collected and tested for infection, inflammation or changes that may be cancerous or may lead to cancer.
Endometrial biopsy.
Your doctor may take a sample of tissue from the inside of your uterus to be examined by a pathologist.
Ultrasound.
This imaging method uses sound waves to produce images of your uterus, ovaries and pelvis.
Based on the results of your initial tests, your doctor may recommend further testing, including:
Sonohysterography.
During this test, a fluid is injected through a tube into your uterus by way of your vagina and cervix. Your doctor then uses ultrasound to look for problems in the lining of your uterus.
Hysteroscopy.
This exam involves inserting a thin, lighted instrument through your vagina and cervix into your uterus, which allows your doctor to see the inside of your uterus.
Doctors can be certain of a diagnosis of menorrhagia only after ruling out other menstrual disorders, medical conditions or medications as possible causes or aggravations of this condition.
Treatment
Specific treatment for menorrhagia is based on a number of factors, including:
# Your overall health and medical history
# The cause and severity of the condition
# Your tolerance for specific medications, procedures or therapies
#The likelihood that your periods will become less heavy soon
# Your future childbearing plans
# Effects of the condition on your lifestyle
# Your opinion or personal preference
Medications
Medical therapy for menorrhagia may include:
Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), help reduce menstrual blood loss. NSAIDs have the added benefit of relieving painful menstrual cramps (dysmenorrhea).
Tranexamic acid. Tranexamic acid (Lysteda) helps reduce menstrual blood loss and only needs to be taken at the time of the bleeding.
Oral contraceptives. Aside from providing birth control, oral contraceptives can help regulate menstrual cycles and reduce episodes of excessive or prolonged menstrual bleeding.
Oral progesterone. The hormone progesterone can help correct hormone imbalance and reduce menorrhagia.
Hormonal IUD (Liletta, Mirena). This intrauterine device releases a type of progestin called levonorgestrel, which makes the uterine lining thin and decreases menstrual blood flow and cramping.
If you have menorrhagia from taking hormone medication, you and your doctor may be able to treat the condition by changing or stopping your medication.
If you also have anemia due to your menorrhagia, your doctor may recommend that you take iron supplements regularly. If your iron levels are low but you're not yet anemic, you may be started on iron supplements rather than waiting until you become anemic.
Procedures
Uterine artery embolization
Focused ultrasound surgery
Balloon ablation
Radiofrequency ablation
Dilation and curettage (D&C)
You may need surgical treatment for menorrhagia if medical therapy is unsuccessful. Treatment options include:
Dilation and curettage (D&C). In this procedure, your doctor opens (dilates) your cervix and then scrapes or suctions tissue from the lining of
+256787590006
Menorrhagia (heavy menstrual bleeding)
Symptoms & causes
Diagnosis & treatment
Doctors & departments
Diagnosis
Sonohysterography
Hysteroscopy
Your doctor will most likely ask about your medical history and menstrual cycles. You may be asked to keep a diary of bleeding and nonbleeding days, including notes on how heavy your flow was and how much sanitary protection you needed to control it.
Your doctor will do a physical exam and may recommend one or more tests or procedures such as:
Blood tests.
A sample of your blood may be evaluated for iron deficiency (anemia) and other conditions, such as thyroid disorders or blood-clotting abnormalities.
Pap test. In this test, cells from your cervix are collected and tested for infection, inflammation or changes that may be cancerous or may lead to cancer.
Endometrial biopsy.
Your doctor may take a sample of tissue from the inside of your uterus to be examined by a pathologist.
Ultrasound.
This imaging method uses sound waves to produce images of your uterus, ovaries and pelvis.
Based on the results of your initial tests, your doctor may recommend further testing, including:
Sonohysterography.
During this test, a fluid is injected through a tube into your uterus by way of your vagina and cervix. Your doctor then uses ultrasound to look for problems in the lining of your uterus.
Hysteroscopy.
This exam involves inserting a thin, lighted instrument through your vagina and cervix into your uterus, which allows your doctor to see the inside of your uterus.
Doctors can be certain of a diagnosis of menorrhagia only after ruling out other menstrual disorders, medical conditions or medications as possible causes or aggravations of this condition.
Treatment
Specific treatment for menorrhagia is based on a number of factors, including:
# Your overall health and medical history
# The cause and severity of the condition
# Your tolerance for specific medications, procedures or therapies
#The likelihood that your periods will become less heavy soon
# Your future childbearing plans
# Effects of the condition on your lifestyle
# Your opinion or personal preference
Medications
Medical therapy for menorrhagia may include:
Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), help reduce menstrual blood loss. NSAIDs have the added benefit of relieving painful menstrual cramps (dysmenorrhea).
Tranexamic acid. Tranexamic acid (Lysteda) helps reduce menstrual blood loss and only needs to be taken at the time of the bleeding.
Oral contraceptives. Aside from providing birth control, oral contraceptives can help regulate menstrual cycles and reduce episodes of excessive or prolonged menstrual bleeding.
Oral progesterone. The hormone progesterone can help correct hormone imbalance and reduce menorrhagia.
Hormonal IUD (Liletta, Mirena). This intrauterine device releases a type of progestin called levonorgestrel, which makes the uterine lining thin and decreases menstrual blood flow and cramping.
If you have menorrhagia from taking hormone medication, you and your doctor may be able to treat the condition by changing or stopping your medication.
If you also have anemia due to your menorrhagia, your doctor may recommend that you take iron supplements regularly. If your iron levels are low but you're not yet anemic, you may be started on iron supplements rather than waiting until you become anemic.
Procedures
Uterine artery embolization
Focused ultrasound surgery
Balloon ablation
Radiofrequency ablation
Dilation and curettage (D&C)
You may need surgical treatment for menorrhagia if medical therapy is unsuccessful. Treatment options include:
Dilation and curettage (D&C). In this procedure, your doctor opens (dilates) your cervix and then scrapes or suctions tissue from the lining of
+256787590006
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