During the menstrual cycle, a woman loses about 35-40 ml of blood, equivalent to two or three tablespoons. Some women, however, who lose much more blood than that in menstruation, known as menorrhagia case.
The loss of large amount of blood during menstruation – more than 80 ml, the equivalent of five or six tablespoons – can lead to serious problems for women’s health.
Causes and symptoms
There are several causes of heavy menstrual bleeding or prolonged, the most common include: not ovulate once a month, a factor called anovulation; presenting abnormal uterine tissue, with polyps, fibroids or adenomyosis; have a tendency to bleeding.
As for symptoms, they include: bleeding for more than seven days; need to use more than one absorbent once due to the bleeding intensity; need to change the absorbent during the night; blood clots greater than 2.5 cm .; iron deficiency anemia caused by low amount of iron in the blood.
Diagnosis and treatment
The intense bleeding can be serious and even fatal, so if a woman has the above symptoms, she should seek medical help so that the specialist to diagnose.
In the medical consultation, the doctor will probably order a physical examination including pelvic examination. The professional may also recommend other tests depending on the results obtained in the examination.
If anemia is observed, the blood test is essential, which can also reveal other disturbances. A pelvic ultrasound, made by sound waves create an imageof the uterus and ovaries, so that endometrial polyps or fibroids are identified. If the doctor deems it necessary, it can also perform endometrial biopsy or hysteroscopy, with the aid of a small telescope to look inside the uterus.
After detected the cause of heavy bleeding during menstruation, the doctor will evaluate the best treatment for the disorder. The expert should also take into account issues such as: the need for women to avoid pregnancy and the desire to have children in the future.
In view of the preference of the patient, the physician should suggest treatment with one or more drugs. If these remedies are not sufficient to reduce bleeding, the woman can opt for the surgical option.
Surgery is indicated right from the first choice when the woman has a tumor in the uterus, so this is removed, which should reduce the heavy bleeding or even stop menstrual bleeding.
Another surgical procedure includes endometrial ablation, which consists in removing most of the uterus. This, however, is not recommended for women who still want to be mothers.
A third option is hysterectomy surgery, an operation that removes the entire uterus. This treatment cures the bleeding, but may bring some complications and require weeks to the recovery of the patient. Pregnancy is impossible after removal of the uterus.
Remember that doctors consider surgical procedures a good option only after medicines have not worked properly, because the risks with surgery are much higher, as well as the complications and recovery time.