Overview
Heavy Menstrual Bleeding is heavy bleeding of more than 80mL per cycle or which lasts longer than 7 days. Heavy menstrual bleeding which occurs in a cyclic pattern is known as menorrhagia.Signs and Symptoms
Usage of sanitary pads more than usual, Frequent change of sanitary pads, Bleeding for longer days than usual, Passing blood clots, Pallor, Fatigue, FaintingCommon Causes
Dysfunctional uterine bleeding, Uterine fibroids, Adenomyosis, Chronic tubo-ovarian mass, Pelvic endometriosis, Intrauterine devices, Oral contraceptive use, Hematological disorders, Medications such as anti-inflammatory drugs and anticoagulant drugs, Disturbance in the hypothalamo-pituitary-ovarian-endometrial axisRisk Factors
Age, Hormonal factors, Presence of bleeding disorders, Certain medicationsInvestigation Techniques
Full blood count, Vaginal examination, Ultrasound, Pap test, Endometrial biopsy, HysteroscopyTreatment and Prevention
Tranexamic acid, Nonsteroidal anti-inflammatory drug (NSAID), Combined oral contraceptives, Oral progesterone, Treating underlying conditionPsychological Issues
Stress, Anxiety, Depression
