Menorrhagia (hypermenorrhea)– these are prolonged and heavy uterine bleeding during menstruation, the interval between which is significantly reduced.
In women suffering from menorrhagia, menstruation is usually long (7 or more days), and the patient loses about 100 ml of blood.
Main symptom of menorrhagia is not only the abundant release of blood, but also the presence of clots in it. Large blood loss sometimes provokes a complication such as anemia.
After heavy menstruation, this is a fairly common phenomenon in which a woman develops:
Feeling weak;
- deterioration of health;
- dizziness;
- fainting state.\
Sometimes when menorrhagia bruises appear on the body, as well as bleeding gums and nosebleeds. In this case, menstrual bleeding is so heavy that a woman has to change sanitary pads or tampons every hour. Every woman should know that excessively heavy menstruation is a reason to contact a professional who will help solve this problem.
Why does menorrhagia occur?
Reasons the appearance of menorrhagia The following violations may occur:
Hormonal imbalance, especially in adolescents and women of premenopausal age;
Diseases of the female reproductive system (fibroids, polyps, uterine adenomyosis) caused by hormonal imbalance in the woman’s body;
Complications when using intrauterine contraceptives;
Poor blood clotting resulting from vitamin K deficiency, thrombocytopenia, or taking medications that affect blood clotting;
Diseases of the thyroid gland, liver, heart and kidneys can be cause of menorrhagia. That is why, in case of heavy menstruation, the specialists of our clinic recommend consultation with a therapist and an endocrinologist in order to exclude general somatic and endocrine causes of bleeding;
Any factors that force the body to activate mechanisms of adaptation to new conditions (excessive stress, sudden climate change) provoke the development of menorrhagia;
In addition, menorrhagia is often inherited through the female line.
Diagnosis of menorrhagia
In case of any bleeding, the doctor must initially exclude pregnancy in the patient, especially ectopic pregnancy. To do this, in the laboratory of our clinic you need to take a blood test for pregnancy (to detect the hormone human chorionic gonadotropin in the blood).
To find out causes of menorrhagia, the doctor examines the female genital organs. During the inspection, the possible presence of:
Tumors;
- polyps;
- foreign bodies;
- inflammatory processes;
- traumatic injuries.
If there are suspicions of various pathologies of the uterus or ovaries, the doctor, in addition to ultrasound, prescribes a biopsy, hysteroscopy, endometrial tissue analysis and curettage.
The technical base of our clinic’s laboratory allows us to examine the patient’s blood:
For hemoglobin;
- for clotting;
- to determine hormonal levels;
- not tumor markers.
If the patient's menstruation is too heavy, then it is recommended that she keep a menstrual calendar to note the duration, nature and abundance of the discharge.
How is menorrhagia treated?
In their practice, doctors at our clinic use two methods of treating menorrhagia:
Therapeutic (medicinal);
- surgical.
Drug treatment includes taking anti-inflammatory drugs and hormonal contraceptives in combination or separately. Hormonal preparations contain the hormones estrogen and progesterone, which prevent the growth of the endometrium and thus reduce the volume of discharge.
Anti-inflammatory drugs are very effective in treatment of menorrhagia, but in some patients they provoke irritation of the gastric mucosa.
The surgical method of treating menorrhagia is used for:
Damage to the genital organs or their physiological disorders;
- recurrent menorrhagia;
- iron deficiency anemia.
If drug treatment for menorrhagia is ineffective, doctors use the following surgical procedures:
Removal of the uterus (hystrectomy). This operation makes pregnancy impossible, so it is very rarely performed on women of reproductive age. After a hystrectomy, a woman’s body recovers quite quickly, and the menstrual cycle returns to normal.
Examination of the walls of the uterus using a special instrument. Using this procedure, it is possible not only to diagnose violations, but also to eliminate them. Before the examination, the doctor prescribes a test for hepatitis B, syphilis, and determination of the patient’s blood group and her Rh factor. Treatment of menorrhagia This method is effective in about 80 percent of cases.
Every woman should remember that menorrhagia- serious illness. Treatment must be immediate. Therefore, under no circumstances should you postpone a visit to the doctor in order to avoid irreversible consequences. Be attentive to your health!
Menorrhagia call heavy uterine bleeding during menstruation, which is accompanied by the release of blood clots. In addition to large blood loss, a characteristic symptom of menorrhagia is poor general health, dizziness and even anemia. The causes of menorrhagia can be disorders of the reproductive system, diseases of the female genital organs, stressful situations and poor lifestyle. In order to diagnose menorrhagia, a woman undergoes a gynecological examination, ultrasound of the pelvic organs, analysis of the gynecological history, and more. Treatment of menorrhagia can be therapeutic (with the prescription of drugs that stop bleeding) and surgical (curettage of the walls of the uterus, as well as removal of the uterus itself in more severe cases).
Menorrhagia - what is it?
Menorrhagia (or heavy periods)- prolonged uterine bleeding that repeats at regular intervals. If bleeding during menstruation exceeds 150 ml for more than 7 days, then it is customary to diagnose menorrhagia. This disease may be a sign of a disorder in the female reproductive system. Inflammatory processes in the uterus, ovarian dysfunction, uterine fibroids, neuropsychological fatigue - all this can be the cause of menorrhagia. As a rule, menorrhagia entails disruption of a woman’s normal working capacity. Heavy menstruation can subsequently even cause anemia. According to statistics, 35-37% of women of reproductive age are diagnosed with menorrhagia. Finding out that you have menorrhagia is not difficult. If a woman notices that during menstruation she begins to change tampons or pads more often, if menstruation is so heavy that personal hygiene products do not have time to absorb blood, and blood leaks onto the bed or clothes, then such heavy menstruation indicates the development of menorrhagia.
Menorrhagia in adolescents
We found out what menorrhagia is. Let's now try to figure out why menorrhagia is so common in adolescents. Most often, menorrhagia occurs in adolescents aged 13-17 years. It is during this period that the formation of hormonal levels occurs. The main reason for heavy menstruation in teenagers is an imbalance of the hormones estrogen and progesterone. It is these hormones that are involved in the processes of maturation and, as a result, rejection of the endometrium of the uterus.
Menorrhagia is especially difficult to tolerate during adolescence. Therefore, as soon as a teenager discovers the main symptom of this disease, namely constant heavy menstrual bleeding, it is necessary to immediately consult a doctor. Typically, the effectiveness of treatment for such a disorder can be assessed only after six months. This period is necessary for the final restoration of menstrual bleeding to normal volume. After undergoing effective treatment, the teenager must register with a gynecologist and visit the doctor twice a year.
Main causes of menorrhagia
One of the main causes of menorrhagia is an imbalance of hormonal balance (or, in other words, hormonal levels), which can lead to the appearance and development of menorrhagia. The risk group includes both a teenager who has recently started menstruation and a woman who has entered menopause. Both a teenager and a woman experiencing menopause experience hormonal changes, which can occur with certain disruptions of the endocrine system.
Another important reason that you should pay attention to, and which causes the development of menorrhagia, is a violation of the reproductive system, leading to a particular disease. Such a disease can be ovarian dysfunction, uterine fibroids, fibroids, uterine adenomyosis, polyps. All this can provoke the occurrence of menorrhagia. If there is a benign tumor in the uterus, menorrhagia may also occur.
A possible cause of the appearance and development of menorrhagia may be the incorrect use of an intrauterine contraceptive. This drug leads to a side effect, which is heavy menstrual bleeding. If a woman using intrauterine contraceptives notices the appearance of heavy menstruation, she should immediately stop using this drug. Otherwise, there is a risk of developing menorrhagia.
In some cases, a phenomenon such as menorrhagia can be a symptom of a serious disease, for example, cancer of the female reproductive system (cervical cancer, ovarian cancer, etc.). The cause of heavy bleeding, which is repeated with enviable regularity, can be an ectopic pregnancy. Menorrhagia can also be caused by a blood disorder associated with a blood clotting disorder. Menorrhagia can be caused by a lack of vitamin K in a woman’s body, as well as by a disease such as thrombocytopenia. In extremely rare cases, heavy periods can be hereditary and passed from mother to daughter.
Menorrhagia can be caused by diseases of the kidneys, pelvis, thyroid gland, liver and heart. Endometriosis can also trigger the development of menorrhagia. According to doctors, there are many reasons for the appearance and development of menorrhagia in women. Menorrhagia can even be caused by stress, overwork, increased levels of physical activity experienced by a woman, and even a change in climatic conditions.
Whatever the reason for the development of menorrhagia, upon discovering the symptoms of this disease in herself, a woman should immediately consult a doctor. The first step is to consult with a therapist and endocrinologist in order to exclude possible somatic and endocrine causes of menorrhagia.
Symptoms of menorrhagia
So, having found out that menorrhagia is prolonged and heavy uterine bleeding during menstruation, it will not be difficult to determine the symptoms of this disease. The main symptom is heavy menstrual flow, in which a woman loses significantly more blood than during normal menstruation. Another symptom should be considered a prolonged period of bleeding, which once again confirms the diagnosis of menorrhagia. If menstruation lasts more than seven days, then this is a sure sign of the development of menorrhagia in a woman. Menstruation during menorrhagia occurs with blood clots. Additional symptoms of menorrhagia are weakness, dizziness, general malaise, and fainting.
Diagnosis of menorrhagia
Diagnosis is necessary as soon as a woman develops certain symptoms characteristic of menorrhagia. As stated earlier, primary menorrhagia is characterized by heavy bleeding during menstruation. First, the doctor must rule out possible pregnancy. To do this, a pregnancy test is performed. The second mandatory procedure for diagnosing menorrhagia is a blood test to detect human chorionic gonadotropin. For diagnosis, medical history data, taking into account the course of past pregnancies, the complexity of labor, and taking one or another medication in the past are also important.
Laboratory diagnostics for menorrhagia helps to examine the level of hemoglobin, as well as carry out a proper biochemical blood test and conduct a coagulogram to determine hormonal levels. Menorrhagia is also determined by analysis using tumor markers CA 19-9 and CA-125.
To determine menorrhagia, your doctor may order a cytological Pap smear test. This analysis makes it possible to detect precancerous or cancerous cells on the cervix.
For all women with suspected menorrhagia or those who have been definitely diagnosed with menorrhagia, doctors recommend having a menstrual calendar, where each month the woman would note the duration of her menstruation, as well as how heavy her menstruation is. Determining whether heavy menstruation or not is very simple - just pay attention to how often the pad or tampon is changed.
Therapeutic treatment of menorrhagia
Therapy for a disease such as idiopathic menorrhagia is carried out depending on the particular cause that caused this disease, as well as taking into account the duration of menstruation and how heavy the menstrual bleeding is. Doctors prohibit self-medication, especially if it concerns menorrhagia in a teenager.
Drug treatment of a disease such as menorrhagia involves the use of oral contraceptives (hormonal drugs) that would regulate hormonal balance. It is known that a prescribed hormonal drug containing estrogen and progesterone can prevent and prevent the growth of the endometrium, as well as reduce the amount of menstrual bleeding by more than 40-45%. The selection of a hormonal drug should be carried out only by a gynecologist. The drug should be taken strictly as prescribed by the doctor.
For a woman suffering from more prolonged menorrhagia, the doctor prescribes an iron supplement to prevent the development of possible iron deficiency anemia. To specifically reduce bleeding during menstruation, doctors often prescribe rutin or ascorbic acid.
For the treatment of menorrhagia, an anti-inflammatory drug such as ibuprofen is also prescribed, which affects the level of menstrual bleeding, as well as its duration. In case of very heavy bleeding, special hemostatic drugs are prescribed: calcium chloride (gluconate), dicinone, aminocaproic acid and others.
In addition to medications, the best treatment for a woman is a restorative daily routine, restoring the balance of work and rest, normalizing sleep and nutrition. As soon as menstruation ends, it is necessary to carry out a course of special physiotherapeutic procedures, which involve about 15-17 separate procedures of ozokerite and diathermy. In special cases, treatment of menorrhagia is not limited to medications. In some situations, menorrhagia requires urgent treatment in the form of surgery.
Surgical treatment of menorrhagia
In the case of a recurrent course of a disease such as menorrhagia, with a physiological disorder, as well as with possible damage to the genital organs and anemia, if treatment with medications is ineffective, surgical treatment is prescribed. First, it is necessary to carry out a procedure such as hysteroscopy, which helps to identify any existing pathology of the uterus (for example, endometrial polyps) and promptly eliminate it. Uterine curettage can significantly reduce menstrual bleeding, thereby reducing the symptoms of menorrhagia, but the results of such treatment may be short-lived. Therefore, in some cases, special surgical treatment is necessary. In the case of menorrhagia in the presence of polyps or fibroids, the disease is treated by surgical removal of the uterus. This surgical treatment of menorrhagia is prescribed to women after 40-45 years of age. If the woman is younger, such surgical treatment is used in especially severe cases.
Prevention of menorrhagia
Compliance with preventive measures will help prevent the development of menorrhagia in both adolescents and mature women. Such preventive measures should include abstaining from heavy physical activity and avoiding heavy strength exercises. It is necessary to avoid stressful situations and not be overtired. Changes in climatic conditions also play a role in the development of menorrhagia. Taking multivitamin preparations such as vitamins B and C, iron and folic acid are also preventive measures in preventing menorrhagia.
A disease characterized by heavy blood loss during menstruation is called menorrhagia. Advanced forms of this pathology can cause infertility, anemia, endometritis, and disorders of the blood coagulation system. That is why the disease requires complete and timely treatment under the supervision of a gynecologist.
Causes and forms
There are 2 forms of the disease: primary, which appears during the first menstruation, and secondary, which develops after several months or years of normal menstruation. Among the factors contributing to the development of both types of pathology are: include:
- hormonal instability (for example, in girls during puberty);
- unfavorable heredity;
- dysfunction of the ovaries, uterine fibroids and other diseases of the reproductive system;
- long-term use of anticoagulants;
- diseases accompanied by blood clotting disorders;
- installation of an IUD or other intrauterine contraceptive device;
- endocrine disruptions;
- diseases of the liver, heart, kidneys, pelvic organs;
- prolonged exposure to stressful situations;
- overwork;
- sudden climate change;
- strength sports;
- poor nutrition.
Sometimes doctors diagnose women with idiopathic menorrhagia, a disease that occurs for no apparent reason.
Symptoms of the disease
The main symptom of the disease is heavy menstrual flow with large blood clots. In women suffering from this pathology, blood loss during menstruation exceeds 90 ml (the norm is 45-50 ml). Besides, signs of the disease are:
- metromenorrhagia - increased duration of menstruation;
- deterioration in general health;
- dizziness;
- fainting conditions;
- nosebleeds;
- bruises that appear on the body for no apparent reason.
Very often, patients develop heavy uterine bleeding not only during menstruation, but also after it ends.
In most cases, to make a diagnosis of menorrhagia, the doctor only needs to listen to the patient’s complaints, study her medical history, and make sure that she has signs of severe blood loss. If the gynecologist has doubts, he may suggest that the woman undergo additional research:
Women prone to menstrual cycle disorders (MCI) such as menorrhagia are recommended to keep a menstrual calendar. In it, they are advised to describe in detail the duration of menstruation, the nature and volume of discharge.
Prevention measures
There is a whole range of measures to reduce the likelihood of pathology occurring. Thus, doctors recommend that women at risk:
- promptly treat inflammatory diseases of the pelvic organs;
- refuse to engage in strength sports;
- exclude pronounced psycho-emotional stress;
- observe hygiene requirements;
- lead a healthy lifestyle;
- avoid traveling to countries with too cold or hot climates;
- quit smoking;
- Minimize alcohol consumption.
Regular examinations by a gynecologist play an important role in preventing the disease.
Pathology is treated both conservatively and surgically. The doctor chooses the treatment tactics. At the same time, he takes into account the causes of the disease, the severity of its symptoms and the general condition of the sick woman.
Gentle therapy for menorrhagia is based on long-term use of oral contraceptives. The hormones included in these drugs can reduce blood loss during menstruation by 40%. Women suffering from hypermenorrhea are also prescribed:
In cases where conservative therapy does not produce the expected results, patients are referred for surgery. In addition, indications for surgical intervention may become:
- serious disturbances in the functioning of the reproductive system;
- injury to the genital organs;
- frequent relapses of the disease;
- severe anemia.
There are several methods of surgical treatment of pathology. However, most often doctors perform uterine curettage or hysterectomy (amputation of this organ without appendages).
Women facing the problem of menorrhagia are advised not to self-medicate. Uncontrolled use of medications and oral contraceptives not only does not contribute to recovery, but also causes complications. With complete and correct treatment under the supervision of a doctor, the prognosis of the disease is favorable.
What is menorrhagia?
Menorrhagia is nothing more than a condition, the main symptom of which is a large loss of blood during menstruation, sometimes exceeding 90-100 ml. At the same time, the regularity of the cycle is maintained, but menstrual bleeding may be accompanied by pain in the lower abdomen, weakness, fainting conditions, the development of anemia, a deterioration in the woman’s quality of life, and decreased ability to work. Also, the symptoms of menorrhagia include the duration of menstruation for more than 7 days.
Menorrhagia in women can be primary or secondary. With primary menorrhagia, periods become heavy immediately after their appearance. Secondary develops after a long period of normal menstrual cycles.
Causes of idiopathic menorrhagia
In most cases, to determine the causes of menorrhagia and prescribe treatment, it is necessary to undergo a medical examination. First of all, an examination of the cervix and vagina is carried out, as well as an ultrasound examination of the pelvic organs. If no pathologies are detected, a series of tests are done (hormonal levels, endometrial analysis, cervical biopsy, hysteroscopy, coagulogram and biochemical blood test). Menorrhagia should not be ignored: not only does it cause great inconvenience to a woman, but it can also be a symptom of a serious illness. So, what are the causes of menorrhagia:
- hormonal disorders (especially common in adolescents and in premenopausal patients);
- gynecological diseases (uterine fibroids, cervical polyps, ovarian dysfunction, endometriosis, etc.);
- diseases associated with blood clotting;
- problems with the thyroid gland;
- inflammatory processes in the pelvic organs;
- heart, liver and kidney diseases;
- cancer of the uterus or other genital organs;
- use of an intrauterine device as a means of contraception;
- overwork, stress, increased physical activity.
The above disorders can cause not only menorrhagia, but also. It is worth noting their difference, since metro, unlike menorrhagia, is bleeding that has nothing to do with menstruation and is characterized by its acyclic nature.
Treatment of menorrhagia
Treatment of menorrhagia is selected depending on the cause that caused these disorders. In most cases, one cannot do without hormonal contraceptives, hemostatic and anti-inflammatory drugs, which are prescribed individually by a doctor. To restore the body after large blood losses, iron-containing drugs are used. It is recommended to reduce physical activity, try to avoid stressful situations, eat well and rest.
There are also cases when drug treatment does not produce results or is inappropriate, 
then doctors practice surgery.
Many women are widely familiar with the methods of treating menorrhagia using folk remedies. Various herbs and infusions help well with heavy menstruation: extracts of mantle vulgare, meadow geranium, chamomile, and nettle have hemostatic properties and can be used in the form of decoctions or tampons. However, you should not self-medicate. You should definitely consult a doctor to find out the cause of this disorder. If menorrhagia is caused by hormonal disorders and other serious pathological processes, traditional medicine should be used only as an addition to drug or surgical treatment.
(Heavy menstruation) – blood loss during menstruation exceeding the physiological norm (~150 ml). It can serve as a manifestation of inflammatory processes in the female genital area, uterine fibroids, ovarian dysfunction, and neuropsychic fatigue. It entails the development of anemia, impairment of the woman’s ability to work and quality of life. Other complications depend on the cause of the underlying disease. Menorrhagia is diagnosed based on medical history, gynecological examination, and ultrasound of the pelvic organs. If necessary, a biopsy and cytological examination are performed. Treatment of menorrhagia can be therapeutic and surgical.
General information
is one of the variants of hypermenstrual syndrome (heavy periods), in which regular menstrual bleeding lasts more than 7 days, and blood loss is more than 100-150 ml. Heavy and prolonged menstruation bothers about 30% of women, however, not everyone turns to a gynecologist with the problem of menorrhagia. A distinction is made between primary menorrhagia, which occurs simultaneously with the first menstruation, and secondary menorrhagia, which develops after a period of normal menstruation.
Symptoms of menorrhagia
The main manifestation of menorrhagia is prolonged and heavy menstrual flow with blood clots. Prolonged and severe blood loss can lead to anemia, manifested in deterioration of health, weakness, dizziness, and the development of fainting conditions. Often with menorrhagia, bleeding from the gums and nose, bruising, and bruises on the body occur. With menorrhagia, menstruation is so heavy that a woman is forced to replace a sanitary tampon or pad every hour, and sometimes more often.
Main causes of menorrhagia
The following disorders may be the causes leading to the development of menorrhagia:
- Hormonal instability. It is especially pronounced in patients of premenopausal and transitional age. Hormonal instability during these physiological periods increases the risk of developing menorrhagia.
- Diseases of the reproductive system: fibroids, polyps, uterine adenomyosis, ovarian dysfunction. They develop as a result of hormonal imbalance in the body and cause menorrhagia in 80% of women.
- Use of intrauterine contraceptives. Menorrhagia in this case is an undesirable side effect that may require removal of the IUD (intrauterine device).
- Diseases associated with blood coagulation disorders(for example, vitamin K deficiency, thrombocytopenia), as well as taking certain medications that affect clotting (anticoagulants). Increased bleeding that accompanies disorders of the blood coagulation system can be manifested by heavy menstruation - menorrhagia.
- Hereditary menorrhagia. Often, menorrhagia is a family disease transmitted through the female line of inheritance.
- Diseases of the pelvic organs, thyroid gland, kidneys, liver, heart. In case of menorrhagia, the patient should consult with an endocrinologist and therapist to exclude endocrine and general somatic causes of heavy menstruation.
- Excessive force loads, overwork, stressful situations, changing climatic conditions All factors that force the body to adapt to new conditions and stress can provoke the development of menorrhagia.
Diagnosis of menorrhagia
The diagnosis of menorrhagia is made on the basis of complaints and signs of excessive blood loss. Any uterine bleeding excludes pregnancy, especially ectopic. A pregnancy test - determination of human chorionic gonadotropin in the blood - allows you to exclude pregnancy and associated pathology.
To make a diagnosis of menorrhagia, anamnesis data (medication intake, complications of previous pregnancies and childbirths, etc.) are important. To determine the causes of menorrhagia, the vagina and cervix are examined for the presence of foreign bodies, traumatic injuries, polyps, tumors, inflammatory or atrophic changes.
If pathology of the uterus and ovaries is suspected, diagnostic procedures are performed: ultrasound of the pelvic organs, hysteroscopy, cervical biopsy, curettage and analysis of endometrial tissue. Using laboratory diagnostic methods for menorrhagia, hemoglobin is examined, a biochemical blood test and coagulogram are performed, hormonal levels and tumor markers CA 19-9, CA-125 are determined. To identify precancerous or cancerous cells in the cervix, a Pap smear is performed.
Therapeutic treatment of menorrhagia
The method of treating menorrhagia is selected depending on the cause, abundance and duration of menstrual bleeding. Self-medication of menorrhagia can only worsen the disease.
As a drug therapy for menorrhagia, long-term use of hormonal contraception is prescribed to regulate hormonal balance. Progesterone and estrogen, which are part of oral contraceptives, prevent excessive growth of the endometrium and reduce the amount of discharge during menstruation by more than 40%. The selection of oral contraceptives is carried out at a consultation with a gynecologist on an individual basis.
Women with menorrhagia are advised to take iron supplements to prevent iron deficiency anemia. Taking rutin and ascorbic acid will help reduce blood loss. To treat menorrhagia, anti-inflammatory drugs (ibuprofen) are used, which affect the duration and amount of bleeding. For severe bleeding, hemostatic drugs are prescribed - etamsylate, calcium chloride or gluconate, aminocaproic acid. For hormonal imbalance, homeopathic treatment is effective.
For the treatment of menorrhagia, intrauterine systems with levonogestrel are used. Having a contraceptive effect, they prevent the proliferation of the endometrium, reduce its thickness and blood supply. However, if menorrhagia is caused by the use of an intrauterine contraceptive device, then it should be removed and other methods and means of protection should be used. Women with menorrhagia are recommended to normalize their regimen, get proper rest and nutrition. After the cessation of menstrual bleeding, a course of physiotherapeutic procedures is carried out (10-15 sessions of ozokerite and diathermy). Some cases of menorrhagia require surgery.
Surgical treatment of menorrhagia
Her mother should come to the initial consultation with the girl and inform the doctor about her family history, the course of pregnancy and the illnesses the child has suffered. The doctor evaluates the patient’s anthropometric data (height, weight), the degree of development of secondary sexual characteristics to exclude pathological processes affecting the girl’s development. The time of onset of menstruation, the course and characteristics of the menstrual cycle (cycle duration, duration, profuseness and pain of menstrual bleeding, etc.) are determined. Attention is paid to the impact of menstruation on the girl’s general well-being and performance (whether she misses classes due to menorrhagia, whether she participates in sports clubs, etc.). This information is an important indicator of both the general and gynecological health of a teenager.
In case of menorrhagia in adolescents, it is mandatory to study the hemoglobin content of the blood to detect anemia. In the presence of iron deficiency anemia in patients with menorrhagia, iron supplements are prescribed. To regulate the menstrual cycle during teenage menorrhagia, low-dose hormonal contraceptives are used, containing no more than 35 mcg of estrogen component in 1 tablet of the drug. It will be useful to accustom a girl to keeping a menstrual calendar and recording the characteristics of the menstrual cycle.
The effectiveness of the treatment of menorrhagia is assessed after approximately 6 months, and its indicator is the restoration of the normal volume of menstrual bleeding. Subsequently, follow-up with a gynecologist is standard - 2 times a year.
Prevention of menorrhagia
Menorrhagia, even if it is not a manifestation of a serious and dangerous disease, causes a woman a lot of inconvenience and significantly worsens her quality of life. As preventive measures for the development of menorrhagia, women are advised to refrain from excessive physical exertion, strength sports, avoid overwork, stress, and sudden changes in climatic conditions. If these measures are ineffective and your health worsens, you should contact a doctor immediately.
To prevent menorrhagia, it is useful to take multivitamin complexes, including B vitamins, vitamin C, folic acid and iron. Regularly filling out the menstrual calendar will help determine the moment of onset of menorrhagia, which will allow for timely diagnostic and therapeutic measures.
Bleeding is always an emergency. Therefore, by delaying a visit to the doctor when menorrhagia develops, a woman independently aggravates the severity of anemia, increases the risk of developing endometritis, and worsens the condition of the blood coagulation system.
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