Bleeding at regular intervals and normal, but with an increased duration (over 8 days) and / or the amount (more than 80 ml per minute. Menstruation)
Symptoms related to the physical, mental and social genes by very heavy bleeding
Often found no identifiable cause
May be due spiral, hormone disorders, fibroids, increased bleeding, blood thinners. Cancer is found not in regular bleedings
Treatment is directed at the cause and to ensure a normal blood percent
What is heavy menstrual bleeding?
Termed in the jargon as menorrhagia
Bleeding with regular and normal ranges, but with:
Increased duration (over 8 days) or
Increased blood volume (more than 80 ml per minute. Menstruation)
Frequency
Strong menstrual bleeding is frequent, but there are no precise figures. A US study found that women aged 18-50 years reported abnormal bleeding annually on 53 of 1000. Only part of these will be heavy menstrual regularity
What can lead to menorrhagia
Often found no identifiable cause, although you will be thoroughly investigated
In young girls
Can endocrine disruption the first time after that period is up and running, be a reason. Use of copper coil can also lead to long periods
Increased bleeding can occur with the heavy bleeding from the first menstrual
In women older than 30 years
Fibroids or polyps in the uterus is a frequent cause
During menopause
May be due to hormonal disturbances – but irregular bleeding is more frequent
Fibroids and polyps can also lead to increased and prolonged bleeding – in some cases, bleeding between periods. If the bleeding is completely regular, cancer is not likely
What can be the reason?
Common causes
Harmless endocrine disruption
Frequent among young girls
Also common in women in their 40s
Often irregular bleeding
Fibroids in the uterus (myoma uteri)
Is a frequent cause
Increased incidence with increasing age, but muscle knots is usually less after menopause
Often no symptoms other than severe bleeding
They can be discovered by chance or because they cause severe and frequent menstrual periods, pressure symptoms, difficulty in urination, defecation difficulties
Smaller fibroids and polyps, which sits inside the womb, can not feel at a regular gynecological examination
spiral
Ordinary copper coil generally provides stronger bleeding
hormone Spiral , by contrast, less bleeding and in some stops bleeding quite
Generally, increased bleeding
There are other signs of increased bleeding as bleeding of the skin and nose bleeds
Optionally, the use of blood thinners which aspirin or warfarin
No identifiable cause
Often menstruation stronger with age, in absence of an obvious cause
It is believed that a contributing cause of heavy bleeding is the changing of substances that affect blood coagulation (clotting) and contraction of the small blood vessels locally in the uterine lining
rare causes
Uterine cancer (endometrial cancer)
May cause bleeding and vaginal discharge in women after menopause or irregular bleeding in women before the changeover. Is rarely seen before the age of 40. Cancer is not a likely diagnosis during heavy, regular bleeding
High metabolism (hyperthyroidism)
Normal symptoms are palpitations, fatigue, nervousness, irritability, weight loss despite good appetite, sweating, heat intolerance. Provides usually rare menstruation
Low metabolism (hypothyroidism)
Typical symptoms are lack of initiative, cold intolerance, muscle pain, increased need for sleep, lighter weight gain, constipation, dizziness, loss of hair, unclear voice and in some heavier menstrual bleeding
Congenital or acquired defects between the arterial and venous circuits. If bleeding becomes heavier in connection with invasive examination, strengthens the suspicion
You can not do anything
Any bleeding after menopause, i.e., bleeding coming a year or more after the last menstrual period, should be examined by doctor
Sustained strong menstrual bleeding, either troublesome or causes fatigue, should be investigated
At such heavy bleeding that it provides acute malaise
What does the doctor?
Medical history
Questions the doctor may ask you:
What is menstruation?
Have they changed compared to the past?
How long do they last, how often do they?
Amount?
Do you bleed through the bandage?
How often switch Volume / tampons?
If switching at night?
Is there blood clots (clots)?
How does bleeding your daily life?
Do you use spiral?
Do you have other diseases?
Do you have pain during menstruation
Have you increased tendency to bleed from other places?
From the nose?
Sheep easy bruising?
medical examination
The doctor will usually perform a gynecological examination of the uterus and ovaries. If you have not fully screening program with cell samples every 3 years, can a doctor take a Pap smear
On suspicion of other underlying disease may need a more comprehensive study
other studies
For heavy bleeding measured hemoglobin level to see if you have developed anemia
Referral to a specialist or hospital
You are referred to a specialist if the diagnosis is unclear
