Menorrhagia: Causes, Symptoms, and Treatment​

• Fibroids
• Adenomyosis
• Endometrial Hyperplasia
• Uterine cancer
• Uterine polyp
• Coagulation defects
• PCOD, PCOS, Hypothyroidism etc.
• Pelvic inflammatory disease
• Endometriosis
• Incomplete abortion

• Excessive bleeding
• Frequent changing of pads
• Passage of clots
• Lower abdominal pain as well as backache
• Nausea, Vomiting
• Long term blood loss results in low hemoglobin levels also known as anemia in medical language; and it leads to Weakness and lethargy.
• Tiredness and fatigue
• Giddiness
• Black-outs
• Irritability and mood swings
• Lack of concentration
• Hair loss
• Easy susceptibility to any infection

Menorrhagia period can impact a woman’s physical health causing severe fatigue, weakness, and anemia due to increasing blood loss. Severe blood loss may be associated with heavy menstrual cramps and pain. 

These symptoms can affect women’s ability to actively engage in routine activities. This in turn makes it challenging to attempt important tasks, exercise, or engage in public events or get together with a friend or a family member. 

Emotional impact of menorrhagia is constant stress and anxiety. Because managing bleeding in public takes a toll on mental health and mobility. 

Menorrhagia can also impact a woman’s sexual life. It may cause physical discomfort and unwillingness to engage in intercourse due to reduced libido and heavy blood flow.

Timely intervention by an experienced gynecologist can prevent complications and overcome the condition promptly.

The diagnosis of menorrhagia can be determined accurately by doing routine investigations such as –

1. Medical History
2. Physical Examination
3. Blood Tests
4. Pap Smear
5. Imaging and Ultrasound tests
6. Endometrial Biopsy
7. Hysteroscopy

If causes go undetected, other investigations such as D(dilation) and C(curettage) or hysteroscopy can be recommended. 

Hormonal imbalances on the other side are diagnosed using thyroid testing and by estimating future hormonal complications. 

After performing these tests, your gynecologist will identify the exact causes led to menorrhagia and recommend the appropriate treatment to ease the symptoms and complications.

Based on your diagnosis, your gynecologist design an appropriate treatment procedure including – 

• Birth control medications to regulate your hormones and reposition them to normal levels. 

• In some cases, you may require an intrauterine device (IUD) that releases hormones, which can further assist in balancing hormone levels and reducing heavy menorrhagia bleeding.

• Certain medications like tranexamic acid based on the severity of your condition can be prescribed to manage heavy menstrual bleeding.

• Fibroids and polyps in the uterus occur commonly due to excessive blood loss. If you experience these fibroids and polyps in your uterus, your doctor may provide treatment to shrink them or surgically remove them to reduce your bleeding.

1. D and C with sampling/ BIOPSY of the endometrium or inner uterine lining.
2. Laparoscopic or hysteroscopic removal of fibroid (myomectomy)
3. Hysteroscopy with  insertion of MIRENA
4. Hysteroscopic removal of  a polyp or fibroid.
5. Hysteroscopic ablation of endometrium
6. Hysterectomy

Expectant management or just WAIT AND WATCH:

1. Clearly heavy bleeding at the extremes of ages like puberty and menopause does not require any active treatment. 
2. Your gynecologist will advise you to take necessary precautions to manage your normal health.  
3. Follow the dietary advice by your doctor to compensate for the blood loss.
4. Your doctor may prescribe simple medicines to control the blood loss. 
5. Your doctor may prescribe you painkillers in case excessive bleeding causes you severe pain.
6. Hormones like progesterone tablets or hormone releasing intrauterine devices like MIRENA  can be used to control menorrhagia effectively.
7. Medicines with tranexamic acid and mefenamic acid combination can ease your symptoms.
8. Combined contraceptive pills can help manage the condition.

Dr. Dimple Doshi is the best menorrhagia doctor in India, Mumbai. Dr. Doshi has an extensive experience in performing menorrhagia diagnosis and treatment and provided great relief to women from all walks of life.

Vardaan hospital in Mumbai is the best menorrhagia treatment center in India, Mumbai. The center offers top-class expenditure aided by patient-friendly staff led by Dr. Dimple Doshi. 

Q1. How long does a menorrhagia last?

Ans. Menorrhagia lasts more than seven long days.

Q2. How common is menorrhagia in women

Ans. Menorrhagia affects 1 in 5 women during their reproductive age.

Q3. Does menorrhagia allow intercourse?

Ans. It allows but heavy bleeding may cause your intercourse uncomfortable.

Q4. What are the precautions for menorrhagia?

Ans. Use sanitary products frequently, avoid heavy activity, and actively follow medical advice by your doctor.

Q5. Is it okay to have intercourse during menstruation?

Ans. Intercourse during menstruation can be messy and less comfortable.