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Heavy menstruation (Menorrhagia)

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What is heavy menstruation (Menorrhagia)?

Menorrhagia refers to abnormally heavy or prolonged menstrual bleeding that can disrupt a person's daily life. It is a common gynaecological condition characterized by excessive menstrual flow.

What are the symptoms of heavy menstruation (Menorrhagia)?

Symptoms of menorrhagia can include:

  • Excessive Bleeding: Menstrual bleeding that lasts longer than seven days or requires changing tampons or pads every two hours or less.

  • Large Blood Clots: Passing blood clots larger than a quarter.

  • Frequent Changing of Menstrual Products: Needing to change tampons or pads during the night.

  • Anemia: Heavy bleeding can lead to iron-deficiency anemia, which may cause fatigue, weakness, and pale skin.

  • Pelvic Pain: Some individuals with menorrhagia may experience pelvic discomfort or pain.

  • Disruption of Daily Life: Menorrhagia can disrupt daily activities, work, and social life due to the need for frequent bathroom breaks and concerns about leakage.

What are the treatments available for heavy menstruation (Menorrhagia)?

Various treatments are available to manage and alleviate the symptoms of menorrhagia:

  • Medications: Your healthcare provider may prescribe non-steroidal anti-inflammatory drugs (NSAIDs) or antifibrinolytic medications to reduce heavy bleeding.

  • Hormonal Therapy: Birth control pills, hormonal IUDs, or hormonal injections can help regulate menstrual flow and reduce bleeding.

  • Iron Supplements: If anemia is present due to heavy bleeding, iron supplements may be recommended.

  • Endometrial Ablation: In this minimally invasive procedure, the lining of the uterus (endometrium) is treated or removed to reduce menstrual bleeding.

  • Uterine Fibroid Removal: If uterine fibroids are causing menorrhagia, surgery to remove them may be necessary.

  • Hysterectomy: In severe cases that don't respond to other treatments or when other medical conditions are present, a hysterectomy (removal of the uterus) may be recommended.

  • Lifestyle Changes: Maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help manage menorrhagia.

It's essential to consult with a healthcare provider for a proper diagnosis and personalised treatment plan tailored to your specific needs and medical history. Effective management of menorrhagia can significantly improve the quality of life for individuals experiencing heavy menstrual bleeding. If you are experiencing heavy menstruation, consult Dr Daniel Koh today!

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