Heavy bleeding

Heavy Bleeding Treatment in Jaipur


Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. Although heavy menstrual bleeding is a common concern, most women don’t experience blood loss severe enough to be defined as menorrhagia.

With menorrhagia, you can’t maintain your usual activities when you have your period because you have so much blood loss and cramping. If you dread your period because you have such heavy menstrual bleeding, talk with your doctor. There are many effective treatments for menorrhagia.

Heavy bleeding can disrupt your daily life and can be quite distressing. What causes it, how heavy bleeding is diagnosed and what treatments are available are all discussed.

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What is heavy bleeding?

Heavy menstrual bleeding (also known as menorrhagia) is excessive and/or prolonged menstrual bleeding. The amount varies from woman to woman and can change at different stages in your life, for example, approaching menopause.  It is defined as blood loss greater than 80ml (equal to 1/3 of a cup) per cycle, or periods lasting more than seven to eight days. Heavy menstrual bleeding affects about one in five women[1] and is a common problem in the 30-50-year-old age group.

How do you know if your bleeding is too heavy?

It is very difficult to determine whether your bleeding is too heavy.  The best guide is to decide whether your period is impacting on your quality of life, causing you to be housebound, interrupting your daily activities or causing you stress and anxiety.  The following signs may indicate you are experiencing heavy bleeding:

  • Bleeding or ‘flooding’ not contained within a pad/tampon (especially wearing the largest size)
  • Changing a pad/tampon every hour or less
  • Changing a pad overnight
  • Clots greater than a 50 cent piece in size
  • Bleeding for more than 7-8 days

How can heavy bleeding affect you?

You may:

  • feel fatigued, exhausted, dizzy and look pale
  • have low iron levels because of the blood loss
  • have cramping and pain in the lower abdomen
  • have to change sanitary products very frequently
  • fear bleeding through to your clothes and this affects your daily activities

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How is heavy bleeding diagnosed?

After a thorough history and clinical examination (including a pap smear and swabs), your doctor may order blood tests and/or a pelvic ultrasound to eliminate some of the possible causes listed previously. The gold standard is to perform a hysteroscopy and curette in all women over 35 years of age who have heavy menstrual bleeding to rule out endometrial hyperplasia or cancer[2]. This is where the lining of the womb is looked at with a telescope, the hysteroscope, and is then lightly scraped away and a biopsy (a sample of cells) is taken for examination.