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MedTech Outlook | Thursday, September 22, 2022
Treating Menorrhagia depends on what's causing their bleeding, how severe their bleeding is, their health, age, and medical history.
FREMONT, CA: Menorrhagia (Heavy menstrual bleeding) is a common disorder among menstruating people. It refers to bleeding lasting more than seven days and involves more blood flow than is typical during menstruation.
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Treating heavy menstrual bleeding depends on what's causing their bleeding, how severe their bleeding is, their health, age, and medical history. Moreover, Treatment depends on the patient's response to certain medicines and preferences. For example, they may not want to have a period at all, or they may want to reduce their bleeding. Additionally, their plans to get pregnant will affect their treatment options.
Medications are used to treat heavy menstrual bleeding.
• Iron supplements improve their iron stores.
• Nonsteroidal Anti-inflammatory Drugs (NSAIDs), for example, Ibuprofen® or Aspirin®, can ease their cramps and reduce their bleeding.
• Birth control (pills, vaginal rings, patches, IUDs) may help make their periods more regular and lighten their blood flow.
• Hormone therapy (HT) can support the balance of the amount of estrogen and progesterone in their body, so their menstrual flow isn't as heavy. HT is commonly recommended for heavy menstrual bleeding associated with perimenopause but comes with risks they should discuss with their provider.
• GnRH(Gonadotropin-releasing hormone) agonists can temporarily stop or decrease bleeding by preventing ovulation.
• Gonadotropin-releasing hormone (GnRH) antagonists (elagolix®) can control heavy period bleeding allied with fibroids.
• Desmopressin nasal spray can stop bleeding accompanying von Willebrand disease by helping their blood clot.
• Antifibrinolytic medicines, such as tranexamic acid, prevent clots from breaking down and generating excessive bleeding.
Procedures applied to treat heavy period bleeding.
Hysteroscopy is usually used to diagnose and treat heavy period bleeding. With an operative hysteroscopy, their provider inserts a thin, lighted tube into their vagina that allows them to inspect their uterine cavity. The hysteroscope also acts as a precise surgical instrument and can help their provider remove any growths causing their bleeding.
Other procedures include:
• Myomectomy. A procedure that eradicates fibroids from the uterus.
• Uterine artery embolization (UAE). A procedure that restrains the blood flow from fibroids and tumors.
• Endometrial ablation. A process that destroys all or part of the lining of the uterus. Often, their provider will suggest sterilization afterward. Endometrial ablation puts a fetus at threat of critical complications if they become pregnant.
• Hysterectomy. Surgery removes their uterus and prevents them from having periods or getting pregnant.
How is heavy period bleeding managed?
Treatment may start with medication and then progress to minor procedures and surgical options. Speak with their provider to decide which options work best for their health and their goals for Treatment.
How is heavy period bleeding prevented?
They can't prevent all causes of heavy period bleeding. But talking with their healthcare provider to get diagnosed and treated can help them manage their bleeding so that it doesn't interfere with their quality of life.
Is it possible to live with heavy menstrual bleeding?
Left untreated, Menorrhagia can interfere with their life. Also, heavy menstrual bleeding can cause anemia, leaving them tired and weak. Other health problems can also arise if they don't get help. However, they can manage heavy periods with proper Treatment and assistance from their provider without compromising their well-being.
When do they call their Doctor if they suspect heavy period bleeding?
They should call their Doctor if they're experiencing the symptoms of heavy menstrual bleeding or anemia or if their period bleeding has become abnormal. Tracking their periods using a calendar or app can help them identify if their periods are heavier and longer-lasting than usual. Share these notes with their provider.
They should also schedule an appointment if they notice that they have to double up on menstrual products or if they're skipping activities they enjoy due to heavy bleeding.
Can heavy menstrual bleeding be life-threatening?
Heavy periods aren't generally life-threatening, but they can be if they lose too much blood. Bleeding with two or more tampons or pads each hour for two hours a row signifies that they should instantly see their provider or seek emergency care.
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