Excessive Menstrual Bleeding or Menorrhagia

Synonyms: Hypermenorrhea

Definition:

  • Normally in each menstrual cycle 40-70 ml of bleeding occurs. Normally blood clots are also absent.
  • Menorrhagia is defined , if in cyclical bleeding at normal intervals , excessive bleeding of more than 80 ml occurs or cycle is of excessive duration or if both occurs. Menotaxis is a term used to define prolonged bleeding.

Causes:

  • Pelvic cause: Fibroid uterus (myoma), Adenomyosis, Pelvic endometriosis, Chronic tubo-ovarian mass, IUCD in utero, Tubercular endometritis, Retroverted gravid uterus, Granulosa cell tumor of Ovary.
  • Systemic: Liver failure, Congestive cardiac failure, Severe hypertension.
  • Endocrinal: Hypothyroid and Hyperthyroid states.
  • Blood dyscrasias: ITP, Leukemia, von-Willebrand’s disease.
  • Emotional upset: Functional component.

menorrhagia

Treatment:

  • According to the Cause

Summary:

  • amount (>80ml/cycle) and/or duration (>8 days) of bleeding
  • common causes: DUB, Fibroid, Adenomyosis, Chronic tubo-ovarian mass
  • may lead to anemia

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