Defining Menorrhagia

Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. Unlike typical menstrual cycles that involve modest blood loss and last around 4 to 7 days, menorrhagia can lead to significant disruptions in a woman’s life. It is characterized by the need for frequent changes of sanitary products, the passage of large blood clots, and possible symptoms of anemia, such as fatigue and shortness of breath.

Understanding the Causes

The causes of menorrhagia include hormonal imbalances, which disrupt the normal regulation of the menstrual cycle, leading to excessive bleeding. Uterine fibroids and polyps, which are benign growths in the uterus, can also contribute to heavy menstrual bleeding, as can conditions like adenomyosis and inherited bleeding disorders.

Treatment Options

Treatment strategies for menorrhagia aim to reduce menstrual blood flow and improve quality of life. These options vary depending on the underlying cause, the severity of symptoms, and the patient’s future fertility desires:

Medications: Non-steroidal anti-inflammatory drugs (NSAIDs), Tranexamic acid, hormonal contraceptives, and oral progesterone can help manage bleeding.

Intrauterine System (Mirena): Before considering surgical options, the insertion of an intrauterine system like Mirena can be particularly effective. Mirena releases a type of progestin hormone called levonorgestrel, which thins the lining of the uterus, reducing menstrual bleeding significantly for many women. This method can be an effective, reversible option for managing menorrhagia without surgery.

Surgical Interventions: For cases not responsive to less invasive treatments, procedures such as endometrial ablation, uterine artery embolization, or, in severe cases, hysterectomy may be considered.

Taking Control of Your Health

Lifestyle modifications, including diet and exercise, may also play a supportive role in managing menorrhagia. While they may not directly stop heavy bleeding, maintaining a healthy lifestyle can help mitigate symptoms and improve overall well-being.

When to See a Doctor

It’s essential to consult a healthcare provider if you experience signs of menorrhagia, such as soaking through one or more sanitary pads or tampons every hour for several consecutive hours, bleeding for more than a week, or if heavy menstrual flow is accompanied by pain or other concerning symptoms. Seeking advice from a reputable gynaecologist in Singapore, such as those associated with good Gynae, can provide a thorough evaluation and tailored treatment plan. Early intervention can prevent complications and improve quality of life.

Incorporating treatments like the Mirena intrauterine system before surgical intervention offers an effective management strategy for many women suffering from menorrhagia. Early diagnosis and treatment are key to preventing complications and improving the quality of life. If you’re experiencing symptoms of menorrhagia, don’t hesitate to reach out to a healthcare provider and explore the best treatment options for you.