family history, anovulation, fibroids, polyps, and adenomyosis
Diagnostic method
based on physical examination
Differential diagnosis
Irregular menstruation
Medication
tranexamic acid
Heavy menstrual bleeding (HMB), previously known as menorrhagia or hematomunia, is a menstrual period with excessively heavy flow. It is a type of abnormal uterine bleeding (AUB).[1][2]
Abnormal uterine bleeding can be caused by structural abnormalities in the reproductive tract, anovulation, bleeding disorders, hormonal issues (such as hypothyroidism) or cancer of the reproductive tract. Initial evaluation aims at determining pregnancy status, menopausal status, and the source of bleeding. One definition is bleeding lasting more than 7 days or the loss of more than 80 mL of blood heavy flow.[3]
Treatment depends on the cause, severity, and interference with quality of life.[4] Initial treatment often involve birth control pills. Tranexamic acid, danazol, progesterone IUDs, and NSAIDs are also helpful.[5] Surgery can be an effective for those whose symptoms are not well-controlled with other treatments.[6] Approximately 53 in 1000 women are affected by AUB.[7]
^Cite error: The named reference Munro 3–13 was invoked but never defined (see the help page).
^Bacon JL (June 2017). "Abnormal Uterine Bleeding: Current Classification and Clinical Management". Obstetrics and Gynecology Clinics of North America. 44 (2): 179–193. doi:10.1016/j.ogc.2017.02.012. PMID 28499529.
^O'Brien SH (2018). "Evaluation and management of heavy menstrual bleeding in adolescents: the role of the hematologist". Hematology. 30 (1): 390–398. doi:10.1182/asheducation-2018.1.390. PMC 6246024. PMID 30504337.
^Committee on Practice Bulletins—Gynecology (July 2013). "Practice bulletin no. 136: management of abnormal uterine bleeding associated with ovulatory dysfunction". Obstetrics and Gynecology. 122 (1): 176–85. doi:10.1097/01.AOG.0000431815.52679.bb. PMID 23787936. S2CID 2796244.
^Cite error: The named reference BofillRodriguez_2019 was invoked but never defined (see the help page).
^Marjoribanks J, Lethaby A, Farquhar C (January 2016). "Surgery versus medical therapy for heavy menstrual bleeding". The Cochrane Database of Systematic Reviews. 2016 (1): CD003855. doi:10.1002/14651858.CD003855.pub3. PMC 7104515. PMID 26820670.
^Kjerulff KH, Erickson BA, Langenberg PW (February 1996). "Chronic gynecological conditions reported by US women: findings from the National Health Interview Survey, 1984 to 1992". American Journal of Public Health. 86 (2): 195–9. doi:10.2105/ajph.86.2.195. PMC 1380327. PMID 8633735.
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as frequent and heavy periods or frequent and heavymenstrualbleeding as well as epimenorrhagia or polyhypermenorrhea, is a menstrual disorder which refers...
periods, frequent menstruation, or frequent menstrualbleeding, is a menstrual disorder in which menstrual cycles are shorter than 21 days in length and...
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the first 5 days of the cycle. Women who experience menorrhagia (heavymenstrualbleeding) are more susceptible to iron deficiency than the average person...
Menstrual suppression refers to the practice of using hormonal management to stop or reduce menstrualbleeding. In contrast to surgical options for this...
younger women. Symptoms (viz., heavybleeding and pain) and the estimated percent affected may include: Heavymenstrualbleeding (40–60%), which is more common...
Intermenstrual bleeding (IMB) is vaginal bleeding at irregular intervals between expected menstrual periods. It may be associated with bleeding with sexual...
access to simple therapy with iron replacement, and the symptom of heavymenstrualbleeding (HMB) are collectively responsible for the global epidemic of iron...
walls and also contribute to pain and bleeding. Heavymenstrualbleeding: irregular or excessive menstrualbleeding for greater than a week. It can disturb...
pain); local pain/inflammation (as a gel); actinic keratoses; heavymenstrualbleeding As per aspirin, except without Reye syndrome and with the following...
approved in the United States for the treatment of menorrhagia (heavymenstrualbleeding). Dienogest is used in combination with estradiol valerate in the...
A menstrual pad, or simply a pad, (also known as a sanitary pad, sanitary towel, sanitary napkin or feminine napkin) is an absorbent item worn in the...
of blood loss during menstrual periods. Endometrial ablation is most often employed in people with excessive menstrualbleeding, who do not wish to undergo...
menstrualbleeding patterns vary from woman to woman, so the medical history covers specific details about the woman's individual menstrualbleeding pattern...
Dysmenorrhea is associated with increased pain sensitivity and heavymenstrualbleeding. For many women, primary dysmenorrhea gradually subsides in late...
Farquhar C (January 2013). "Non-steroidal anti-inflammatory drugs for heavymenstrualbleeding". The Cochrane Database of Systematic Reviews (1): CD000400. doi:10...
(mēn) 'month', and ἀρχή (arkhē) 'beginning') is the first menstrual cycle, or first menstrualbleeding, in female humans. From both social and medical perspectives...
kind of treatment for this disorder. In ancient Rome, women with heavymenstrualbleeding would be treated by applying ligatures to the groin and to the...
irregular menstrualbleeding, bleeding between menstrual periods, excessively heavymenstrualbleeding (menorrhagia), and vaginal bleeding after menopause...
ring offers potentially better cycle control and treatment of heavymenstrualbleeding. However, both methods are effective short-term treatments in the...
the uterus to be thinner, resulting in lighter bleeding episodes for those with heavymenstrualbleeding. Although the pill is sometimes prescribed to...
and anovulatory pattern of menstrual cycles. It is also associated with metrorrhagia and menorrhagia (heavymenstrualbleeding) in large percentages of...
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