Understanding Menorrhagia Causes, Diagnosis, and Care
Prolonged or heavy menstrual bleeding is medically termed menorrhagia. Diagnostic criteria rely on two practical signs: menstrual duration exceeding seven days and a flow so heavy that a standard pad fills within one to two hours, or the presence of clots measuring three centimeters or more in the discharge. An obstetrician-gynecologist from the Institute of Reproductive Medicine explained these criteria to readers of socialbites.ca, clarifying what patients should watch for. [Citation: Institute of Reproductive Medicine, 2023]
In some cases, malignant growths contribute to heavy bleeding during menstruation. Endometrial or cervical cancers can present with excessive discharge, and awareness of these possibilities remains important for timely evaluation. [Citation: Institute of Reproductive Medicine, 2023]
Heavy or prolonged bleeding is not just an inconvenient symptom. It can lower quality of life and, over time, lead to anemia. If menorrhagia persists for several months, it may progress to chronic anemia and signal an unfavorable pelvic organ condition. Potential underlying issues include discrete hyperplastic changes of the endometrium such as polyps or hyperplasia, as well as uterine cancer, ovarian cysts, endometriosis, or disorders of pregnancy including ectopic pregnancy. These points were emphasized by the physician during the discussion. [Citation: Institute of Reproductive Medicine, 2023]
Anyone who menstruates is at risk, though the condition can be especially dangerous for those with polycystic ovary syndrome, endometriosis, uterine fibroids, excess body weight, or a history of insulin resistance or type II diabetes. Awareness and proactive monitoring are key for early detection and treatment. [Citation: Institute of Reproductive Medicine, 2023]
When evaluating menorrhagia, clinicians consider multiple diagnostic steps aligned with the menstrual cycle. Treatment may involve hemostatic therapy to control bleeding, hysteroscopy to inspect the uterine cavity, and diagnostic curettage for tissue sampling. These approaches help determine the precise cause and guide management. [Citation: Institute of Reproductive Medicine, 2023]
If a uterine or ovarian pathology is suspected, a comprehensive workup is commonly pursued. Ultrasound imaging of the pelvic organs often serves as an initial test, followed by hysteroscopy and cervical biopsy when needed. Curettage and endometrial tissue analysis help assess lining changes. A Pap smear cytology test is used to screen for precancerous or cancerous cervical cells. [Citation: Institute of Reproductive Medicine, 2023]
It is important to note that misinformation can circulate about health risks. For instance, claims about hair straighteners causing cancer lack scientific support and should be treated with skepticism. Reliable medical guidance relies on current evidence and professional evaluation when symptoms arise. [Citation: Institute of Reproductive Medicine, 2023]