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

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

Signs and symptoms of menorrhagia may include:

• Soaking through one or more sanitary pads or tampons every hour for several consecutive hours
• Needing to use double sanitary protection to control your menstrual flow
• Needing to wake up to change sanitary protection during the night
• Bleeding for longer than a week
• Passing blood clots larger than a quarter
• Restricting daily activities due to heavy menstrual flow
• Symptoms of anemia, such as tiredness, fatigue or shortness of breath

CAUSES OF MENORRHAGIA

In some cases, the cause of heavy menstrual bleeding is unknown, but a number of conditions may cause menorrhagia. Common causes include:

• Hormone imbalance- In a normal menstrual cycle, a balance between the hormones estrogen and progesterone regulates the buildup of the lining of the uterus (endometrium), which is shed during menstruation. If a hormone imbalance occurs, the endometrium develops in excess and eventually sheds by way of heavy menstrual bleeding.

  A number of conditions can cause hormone imbalances, including polycystic ovary syndrome (PCOS), obesity, insulin resistance and thyroid problems.

• Dysfunction of the ovaries-If the ovaries do not release an egg (ovulate) during a menstrual cycle (anovulation),if body does not produce the hormone progesterone, as it would during a normal menstrual cycle. This leads to hormone imbalance and may result in menorrhagia.
• Uterine fibroids.
• Polyps-Small, benign growths on the lining of the uterus (uterine polyps) may cause heavy or prolonged menstrual bleeding.
• Adenomyosis- This condition occurs when glands from the endometrium become embedded in the uterine muscle, often causing heavy bleeding and painful periods.
• Intrauterine device (IUD)-Menorrhagia is a well-known side effect of using a non hormonal intrauterine device for birth control. Your doctor will help you plan for alternative management options.
• Pregnancy complications- A single, heavy, late period may be due to a miscarriage. Another cause of heavy bleeding during pregnancy includes an unusual location of the placenta, such as a low-lying placenta or placenta previa.
• Cancer- Uterine cancer and cervical cancer can cause excessive menstrual bleeding, especially if you are postmenopausal or have had an abnormal Pap test in the past.
• Inherited bleeding disorders- Some bleeding disorders — such as von Willebrand's disease, a condition in which an important blood-clotting factor is deficient or impaired — can cause abnormal menstrual bleeding.
• Medications-Certain medications, including anti-inflammatory medications, hormonal medications such as estrogen and progestins, and anticoagulants such as warfarin (Coumadin, Jantoven) or enoxaparin (Lovenox), can contribute to heavy or prolonged menstrual bleeding.
• Other medical conditions- A number of other medical conditions, including liver or kidney disease, may be associated with menorrhagia.

COMPLICATIONS OF MENORRHAGIA

Excessive or prolonged menstrual bleeding can lead to other medical conditions, including:

• Anemia. 

• Severe pain. Along with heavy menstrual bleeding, you might have painful menstrual cramps (dysmenorrhea). Sometimes the cramps associated with menorrhagia are severe enough to require medical evaluation.

HOMOEOPATHIC TREATMENT FOR MENORRHAGIA

BELLADONA

Very useful for plethoric women, with red face and local plethora. Useful when the cause is due to effects of hair getting wet, sunstroke, walking in the wind or draft. Fullness and congestion, especially of the head, with throbbing are the other important characters of the drug. Patient is basically chilly and expresses violence in every symptom. Menses are bright red and excessive, offensive and hot. Patient is worse from the heat of the sun and after being heated with drafts of wind; worse at night.

Phosphorus stands at the head of the haemorrhagic remedies. Blood looses its coagubility and even the slightest wound bleeds. Menses are too profuse and longer lasting than usual. There can be vicarious menstruation in the form of haemoptysis, epistaxis or haematuria. Sometimes there is a possibility of infertility with this profuse bleeding.

Ipecacuanha particularly suits women of emphysematous state with frequent epistaxis. Uterine haemorrhage is bright red, has a study flow or is gushing; it is accompanied with nausea. Gasping with each gush of blood. At times, there may be prolapsed of the uterus with profuse bleeding.

Sabina suits plethoric women who suffer from what is called as rheumatic inflammation. Also suits hot blooded women with gouty and rheumatic diathesis havi8ng a haemorrhagic tendency. Haematuria. Menses are too profuse and early; gushing of hot blood mixed with clots; uterine pain extends to the thighs; pains from sacrum of pubis; shooting pain in the vagina.

RL37

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