Excessive Menstrual Bleeding

The medical term for heavy, prolonged (or both) menstrual periods is menorrhagia. Symptoms of menorrhagia or excessive menstrual bleeding may also include cramping, pelvic pain and, in severe cases, anemia.

Excessive menstrual bleeding is a common condition that occurs for many of reasons. Two of the most common causes are: a hormonal imbalance and uterine growths. Metrorrhagia is the term used to refer to uterine bleeding at irregular intervals, particularly between the expected menstrual periods. Menometrorrhagia is the combination of the two, that is, excessive uterine bleeding, both at the usual time of menstrual periods and at other irregular intervals.

If you have this condition, you should consider all your treatment options and work with your doctor to identify the best treatment option for you.

Treatment Options

It is important to see your doctor determine the cause. Treatment will depend on what’s causing the bleeding.

Medication treatment for menorrhagia may include one or more of the following:

  • Nonsteroidal anti-inflammatory to reduce the amount of blood loss and help with pain
    Hormone therapy to stabilize the endometrium (lining of the uterus), regulate menstrual cycles, or correct hormonal imbalances.
  • Hormone secreting IUD (Mirena)
  • Tranexamic acid, a non-hormonal medication that promotes blood clotting.
  • D&C (dilation and curettage). D&C involves dilating the cervix and scraping the lining of the uterus.
  • Hysteroscopy. It allows the doctor to see and remove uterine masses that are in the lining of the uterus and may be causing bleeding. It also allows the doctor to evaluate the uterine lining.
  • Endometrial resection or ablation. In this procedure, the lining of the uterus is removed or destroyed.
    Hysterectomy. This is the surgical removal of the uterus and cervix.
  • Robotic surgery is one of the advanced, minimally invasive treatment options now for Excessive Menstrual Bleeding (Menorrhagia). Using the da Vinci surgery system, your surgeon has a better robotic option to spare surrounding nerves, cause less tissue damage, less pain from surgery, less ris of infection, shorter hospital stay and overall have a minimally invasive method encouraging a better surgical outcome.

To learn more about your options, make an appointment with your doctor today.

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