Menorrhagia

Menorrhagia is the medical term for extremely heavy or prolonged menstrual periods. People with menorrhagia lose more blood than normal or menstruate for longer than 7 days, which can lead to anemia and fatigue.

Characteristics of menorrhagia

• Blood loss of more than 80 ml per cycle (normal is 30-40 ml).
• Menstruation longer than 7 days.
• Blood clots larger than a coin.
• Leaking through despite regularly changing menstrual products.
• Fatigue, dizziness or shortness of breath due to anemia.

Causes of menorrhagia

• Hormonal imbalance (for example, PCOS or thyroid problems).
• Uterine disorders such as fibroids (myomas) or polyps.
• Endometriosis or adenomyosis.
• Blood clotting disorders or side effects of blood thinners.
• Infections or pelvic inflammation.
• Certain contraceptives, such as the copper IUD.

Treatment of menorrhagia

• Medication:
  • NSAIDs (such as ibuprofen) reduce blood loss and pain.
  • Hormonal contraception (such as the pill or hormonal IUD) regulates the cycle.
  • Tranexamic acid helps with blood clotting and reduces blood loss.
• Medical interventions in severe cases:
  • Endometrial ablation (removing or damaging the endometrium).
  • Myoma removal if fibroids are the cause.
  • In extreme cases, a hysterectomy (removal of the uterus).

When heavy menstruation affects daily life, it is important to consult a doctor to find out the underlying cause and find appropriate treatment.