Dr Dimple Doshi

Dr Dimple Doshi

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Menorrhagia

Menorrhagia is a word that means very heavy menstrual bleeding. Medically also known as abnormal uterine bleeding.

abnormal uterine bleeding affects 30% of women of reproductive age. IT IS A  PHYSICALLY AS WELL AS MENTALLY CRIPPLING PROBLEM  AS FAR AS A WOMAN’S  QUALITY OF LIFE IS CONCERNED.

Heavy bleeding is a leading cause of distress amongst women as heavy blood flow leads to weakness, giddiness, lack of concentration, and fatiguability or tiredness. It is also one of the common causes of absenteeism amongst working women. As the woman is the center of the family, if the woman is sick, the whole family is affected.

Menorrhagia is treatable if the conditions causing menorrhagia are addressed in a precise and perfect manner. There are a variety of conservative or uterus sparing and modern surgical treatment options available to treat  abnormal uterine bleeding.

Menorrhagia

Dr. Dimple Doshi; at Vardaan Hospital empathizes with the women suffering from menorrhagia and suggests the right line of treatment. She is an expert gynecologist to treat menorrhagia by minimally invasive methods, and our aim is to conserve the uterus; removal of the uterus is the last resort.  We, at Vardaan hospital, are equipped with the latest instruments to help the patients ease their problems in the best suitable manner.

  1. Excessive bleeding
  2. Frequent changing of pads
  3. Passage of clots
  4. Lower abdominal pain as well as backache
  5. Nausea , vomiting
  6. Long term blood loss results in low hemoglobin levels also known as anemia in medical language; and it gives rise to Weakness and lethargy.
  7. Tiredness and fatiguability
  8. Giddiness
  9. Black-outs
  10. Irritability and mood swings
  11. Lack of concentration
  12. Hair loss
  13. Easy susceptibility to any infection

THERE ARE TWO TYPES OF MENORRHAGIA Causes of painless menorrhagia or abnormal uterine bleeding:

  • Fibroid
  • Uterine cancer
  • Uterine polyp
  • Coagulation defects
  • PCOD
  • Pelvic inflammatory disease
  • Endometriosis
  • Adenomyosis
  • Incomplete abortion

The cause of menorrhagia can be accurately determined by doing routine investigations like ultrasound and if any identifiable cause is not found, other investigations like D and C and/or hysteroscopy may be advised. Hormonal imbalance can be diagnosed by doing hormonal assays like thyroid testing and estimation of other hormones also.

 

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. We will just advise you to take care of general heath,  follow the dietary advice in order to compensate for the blood loss ; and we may prescribe simple medicines to control the blood loss  . We may prescribe you pain killers in case your bleeding is associated with pain.
  2. Hormones like progesterone tablets or hormone releasing intrauterine devices like MIRENA  can be used to control menorrhaiga effectively.
  3. Medicines with tranexamic acid and mefenamic acid combination
  4. Combined contraceptive pills
  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