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Dr. Chandrika Kanne

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Understanding Menorrhagia: Symptoms, Causes, Diagnosis, and Treatment

What is Menorrhagia?

Menorrhagia means heavy or long-lasting periods. It is a common period problem that affects many women. In fact, the Centers for Disease Control and Prevention (CDC) says about one in five women may have heavy menstrual bleeding. Because menorrhagia can affect daily life, it is important to understand this condition. Early knowledge helps you seek help and manage your gynecological health better.

Common Symptoms of Menorrhagia

Many women have questions about what is normal during their period. However, menorrhagia has some clear signs. If you notice these symptoms, you may have heavy menstrual bleeding:

  • Bleeding that soaks through one or more pads or tampons every hour for several hours
  • Needing to use double sanitary protection to control your flow
  • Waking up at night to change pads or tampons
  • Periods lasting longer than seven days
  • Passing large blood clots during your period
  • Feeling tired, weak, or short of breath (signs of anemia)

    • Sometimes, these symptoms can disrupt your daily activities. For example, you may need to miss work or school. If this happens, it is important to talk to your doctor.

    Causes and Risk Factors

    There are many reasons why someone may have menorrhagia. Some causes are simple, while others may need medical care. Common causes include:

  • Hormone imbalances (like too much estrogen or not enough progesterone)
  • Uterine fibroids (non-cancerous growths in the uterus)
  • Polyps (small growths on the lining of the uterus)
  • Bleeding disorders (such as von Willebrand disease)
  • Certain medications (like blood thinners)
  • Other health problems (such as thyroid issues or infections)

    • Additionally, some women are more at risk. For example, teenagers and women nearing menopause often have hormone changes. These changes can lead to heavy periods. If you have a family history of period problems, your risk may also be higher.

    How Menorrhagia is Diagnosed

    Doctors use several steps to diagnose menorrhagia. First, your doctor will ask about your period history. They may want to know how often you change pads or tampons. Next, a physical exam is done. Sometimes, blood tests check for anemia or bleeding problems. In some cases, your doctor may suggest an ultrasound or other imaging tests. These tests help find causes like fibroids or polyps. If needed, a biopsy may be done to check the lining of your uterus. Early diagnosis helps you get the right treatment.

    Treatment Options for Menorrhagia

    Treatment depends on the cause and how much it affects your life. Your doctor will help you choose the best option. Common treatments include:

  • Iron supplements to treat or prevent anemia
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen to reduce bleeding and pain
  • Hormonal treatments, such as birth control pills or hormone-releasing IUDs
  • Tranexamic acid, a medicine that helps reduce bleeding
  • Procedures to remove fibroids or polyps if needed
  • Surgery, such as endometrial ablation or hysterectomy, for severe cases

    • For many women, simple treatments work well. However, some may need more advanced care. Always discuss the risks and benefits with your doctor.

    Lifestyle Tips and Self-Care

    Along with medical treatment, self-care can help manage menorrhagia. Here are some tips:

  • Track your periods in a diary or app
  • Eat iron-rich foods like spinach, beans, and lean meats
  • Stay hydrated, especially during your period
  • Rest when you feel tired
  • Use the right sanitary products for your flow

    • Moreover, talking to friends or support groups can help you cope. Remember, you are not alone.

    Prevention and When to See a Doctor

    Sometimes, menorrhagia cannot be prevented, but regular check-ups can help detect problems early. If you notice any of these signs, see Dr. Chandrika Kanne:

  • Very heavy bleeding that soaks through pads or tampons quickly
  • Periods lasting longer than seven days
  • Severe pain during your period
  • Feeling dizzy, weak, or short of breath

    • Early care can prevent complications like anemia. In summary, do not ignore heavy menstrual bleeding. Your health and well-being are important.

    If you experience symptoms of menorrhagia, consult Dr. Chandrika Kanne for personalized advice and care.