Experiencing unusually heavy bleeding or lengthened periods, or menorrhagia, are quite common. The periods are seen as heavy if there is unusual bleeding from the uterus and your pads or tampons get soaked more frequently with hourly repetitions for many hours.
Other symptoms of Menorrhagia:
- Bleeding at night and you need to wake up for changing your tampon or a pad.
- Discharge of heavy blood clots during menstruation.
- Periods lasting for more than 7 days.
In many cases, heavy menstruation may interrupt your routinely sleep and hamper usual activities. The loss of blood during heavy periods may also lead to anemia and you may experience breath shortness and fatigued.
Causes of Menorrhagia
There are several probabilities of experiencing menstrual bleeding heavily. They may include:
- The foremost cause is the imbalanced hormones, especially of progesterone and estrogen. This is found to be the most common in youths who have very recently started menstruating or the females nearing menopause. The imbalance in hormones may also happen if there is an issue in the proper functioning of the ovaries.
- Developing uterine fibroids and non-cancerous growth of tumors in the uterus. Uterine Fibroids usually happen during the reproductive age of a female.
- Miscarriage is yet another cause of Menorrhagia.
- Ectopic Pregnancy wherein the fertilized egg gets implanted in the Fallopian tube or elsewhere in place of the usual implantation in the uterus.
- The abundant use of blood thinning medicines
- Issues with an intrauterine device (IUD), a non-hormonal instrument used for controlling birth.
- Adenomyosis is a condition wherein the glands in the uterine lining get entrenched in the wall, made of muscles, of the uterus. This mostly happens in the middle-age females having many children.
- Pelvic Inflammatory Disease (PID), besides Chlamydia and Gonorrhea, are conditions responsible for heavy bleeding during periods. It is an infection of the Fallopian tube and the uterus that get spread in the other organs of the female reproductive system.
- Cancers such as ovarian, uterine or cervical are very rare, but these are probable causes of heavy bleeding during periods.
- The medical conditions such as thyroid, liver and kidney diseases, prevent the usual bleeding with normal clots and cause platelet disorders and result and in heavy bleeding.
Heavy Periods Treatments
In case you have been suffering heavy menstrual bleeding, it is pertinent to consult your doctor for ascertaining the cause. The treatment will depend on the cause of heavy bleeding.
The treatment of menorrhagia with medicines may involve:
Anti-inflammatory and nonsteroidal medications like naproxen and ibuprofen. Both the drugs help in reducing the quantity of blood loss and relieve you from pain.
You may be given hormonal therapy for:
- Stabilizing the uterine lining (endometrium)
- In regulating your menstrual cycles
- Correcting the imbalance of hormones
Tranexamic acid (Lysteda) is a non-hormonal medicine that helps in promoting blood clotting.
After ascertaining the cause of menorrhagia and your medical history, the treating doctor may suggest one of the following surgical procedures, like:
- Dilation and Curettage ( D & C )
The procedure involves dilating the cervix of the uterus and scuffing the uterine lining.
It is a procedure wherein a long and thin scope is introduced into your uterus via the vagina and cervix. It helps the doctor in locating and removing uterine masses accumulated in the uterine lining suspected to be the cause of heavy bleeding. The hysteroscopy also helps the doctor in evaluating the lining of the uterus.
- Endometrial ablation or resection
It is a surgical procedure wherein the uterus along with the cervix is removed. After having gone through the procedure, it is possible to get pregnant and have a baby.
With a heavy blood loss through heavy bleeding in periods cause anemia and deficiency of iron. Your doctor may suggest or prescribe iron supplements for compensation while your bleeding is fully controlled.