The blood loss associated with normal menstruation is compensated by the functioning of the hematopoietic system, but if the menstruation is abnormally longer or stronger than usual, it can even lead to severe anemia.
Heavy bleeding affects many
Who experiences it heavy bleeding with large amounts of blood loss (menorrhagia), you may know how uncomfortable this situation is, and may even face consequent health problems, especially iron deficiency anemia.
According to U.S. surveys, one-fifth of women aged 35-45 are affected by this problem. Symptoms typically include: 7-9 days of menstruation, bleeding greater than normal, appearance of blood clots, malaise, weakness, bleeding between the two regular periods, spotting, or so-called contact bleeding.
Some cases may be due to anatomical changes: fibroids, which is a benign uterine muscle tumor or uterine enlargement. Due to this, the thickened uterine wall cannot contract sufficiently, which leads to increased bleeding, explains dr. László Demjén, gynecologist at Oxygen Medical.
You may have menorrhagia caused by excessive thickening of the endometrium, but even an intrauterine contraceptive device is the cause of the problem. Hormonal disorders such as thyroid problems may turn out to be underlying, but it is common for endometriosis to cause bleeding between two periods, accompanied by cramping pain.
On top of all that an aborted intrauterine pregnancy, a condition after a miscarriage should be ruled out, pelvic inflammatory disease, blood clotting disorder, uterine cancer, cyst and polyps. In some cases, even after all these causes are ruled out, the cause of the heavy bleeding is not revealed.
Tests and treatment options
It is very important to have a complete blood count to assess hemoglobin levels and menstruation, as well as iron status. If this reveals that it is indeed menorrhagic, even a routine gynecological examination can detect fibroids, for example. Ultrasound provides information on the condition of the lining of the uterus, but if this does not work, uterine reflection may be considered.
A gynecological examination combined with cancer screening should also be performed. If the gynecologist does not find a discrepancy, short-term medication may be considered. If the problem is caused by an intrauterine contraceptive, it should obviously be removed, and if there is no other reason for exclusion, pill contraception may be recommended, which can reduce the length and amount of menstruation.
If necessary bee scraping may be considered, which can also help stop bleeding and histological post-examination can determine what caused the abnormal bleeding. A method is known which is an intact surgical version of the hysteroscopy mentioned above, by which most of the endometrium can be removed and thus the bleeding disorder is eliminated. In the final case, especially over the age of 40, if the intended children have already been born and other procedures do not work, conceivable to remove the uterus.
Of course, if a cancerous lesion is found, surgery is definitely the most important.
According to Dr. László Demjén in each case the emphasis is on anemia prevention or mitigation. Therefore, iron supplements and iron-rich foods such as beans, peas, leafy vegetables, spinach, dried and berries, whole grains, nuts, almonds, poppy seeds and the red meats.
Source: Napidoktor by napidoktor.hu.
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