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Menorrhagia is manageable.

The unusually heavy bleeding during otherwise normal menstruation (periods) is known as menorrhagia. It affects about 9% to 14% of all women, and 10% of them are in childbearing years.

Ponderous blood flow implies that at least one pad or tampon is soaked through every hour for a couple of hours, or bleeding for more than seven days or heavy periods that last ten days or more regularly. Bleeding heavily for two periods in a row is also a symptom of menorrhagia.

A diagnosis of menorrhagia is made based on medical history, physical examination, and blood tests. Blood tests check for anaemia and bleeding disorders. Anaemia can occur when you lose much blood that your blood count is too low.

Other tests may include,

– a pap smear, 

-endometrial biopsy, 


-hysteroscopy, laparoscopy, 

-hysterosalpingography, and 

-D&C (Dilatation and curettage).

With a biopsy, a tissue sample is removed and looked at with a microscope. Ultrasound uses sound waves to take images of the uterus, ovaries, and pelvis. For hysteroscopy, a clinician passes a thin metal tube with a tiny camera in it through the cervix into the uterus to look inside. Laparoscopy also lets the health care provider look in the abdomen through a small cut. For hysterosalpingography, a clinician puts a dye that into the uterus and Fallopian tubes let the clinician see the uterus on an x-ray. The clinician uses a D&C to dilate the cervix and take samples of the endometrial cavity.

Treatment of menorrhagia depends on the cause, side effects, and the woman’s preference. Treatment includes both medicine and surgery.

Medicines include birth control pills, hormones like progesterone, and iron supplements. If medical treatment fails, a clinician can perform a D&C or operative hysteroscopy in an outpatient setting. Other operations are specifically for older women who don’t intend to become pregnant. These include endometrial ablation, endometrial resection, and hysterectomy.

Endometrial ablation can treat menorhagia.
Endometrial ablation destroy tool.

DOs and DON’Ts in Managing Menorrhagia:

  • DO tell your health care provider about medicines you take, including over-the-counter drugs.
  • DO return for follow-up care when needed.
  • DO call your health care provider if symptoms worsen after treatment starts.
  • DO eat iron-rich foods.
  • DON’T delay getting care. Prolonged bleeding can result in severe anaemia.

, 3rd edition provided this information. Get it .


MBChB (MUK), Graduate Fellow, Department of Physiology, Makerere University Founder and Content Creator Peer reviewer, Associate Editor

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