Menorrhagia is a medical term for heavy or long-lasting menstrual periods. Many women experience this condition at some point in their lives. Because menorrhagia can affect daily life and health, it is important to understand its causes, symptoms, and treatment options. In this blog, you will learn about menorrhagia, how it is diagnosed, and ways to manage it. If you or someone you know has heavy periods, this information can help you make informed choices.

What is Menorrhagia?

Menorrhagia means having periods that are heavier or last longer than normal. Usually, it affects women of any age, but it is more common in teenagers and women nearing menopause. For some, the bleeding is so heavy that it interferes with daily activities. While every woman’s period is different, menorrhagia is more than just a slightly heavy flow.

Common Symptoms of Menorrhagia

Recognizing the symptoms of menorrhagia is important. If you notice any of the following signs, you may have menorrhagia:

Bleeding that soaks through one or more pads or tampons every hour for several hours

Needing to use double sanitary protection to control menstrual flow

Waking up at night to change pads or tampons

Periods that last longer than seven days

Passing large blood clots during your period

Feeling tired, weak, or short of breath (signs of anemia)

Causes of Menorrhagia

There are many possible causes of menorrhagia. Sometimes, the cause is not clear. However, common reasons include:

Hormone imbalances, such as too much estrogen or not enough progesterone

Uterine fibroids, which are non-cancerous growths in the uterus

Polyps, which are small growths on the lining of the uterus

Bleeding disorders, like von Willebrand disease

Certain medications, including blood thinners

Thyroid problems

Infections of the uterus

Cancer of the uterus or cervix (rare, but possible)

How is Menorrhagia Diagnosed?

Doctors use several methods to diagnose menorrhagia. First, they will ask about your medical history and menstrual cycles. Next, they may perform a physical exam. Often, you will be asked to keep a record of your periods. In addition, tests may include:

Blood tests to check for anemia or bleeding disorders

Pap smear to look for changes in cervical cells

Ultrasound to view the uterus and ovaries

Endometrial biopsy, where a small sample of the uterus lining is tested

These tests help find the cause and guide treatment.

Treatment Options for Menorrhagia

Treatment for menorrhagia depends on the cause, your age, and your health. Sometimes, simple changes can help. Other times, medical treatment is needed. Common options include:

Iron supplements to treat or prevent anemia

Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen to reduce bleeding and pain

Hormonal treatments, such as birth control pills or hormone-releasing IUDs

Tranexamic acid, a medicine that helps reduce bleeding

Surgical options, such as removing polyps or fibroids, or procedures to reduce or remove the uterus lining

If your bleeding is very heavy or you feel weak, see a doctor right away. Early treatment can prevent complications.

Prevention and Self-Care Tips

While you may not always prevent menorrhagia, some steps can help you manage it better:

Track your periods to notice any changes early

Eat a healthy diet rich in iron and vitamins

Stay hydrated and rest when needed

Use sanitary products that work best for your flow

Talk to your doctor before taking new medicines

With these tips, you can feel more in control of your health.

When to See a Doctor

It is important to seek medical help if you:

Bleed so much that you need to change pads or tampons every hour

Feel dizzy, weak, or faint

Have periods lasting longer than seven days

Notice large blood clots during your period

Have bleeding between periods or after menopause

Early care can help prevent serious problems and improve your quality of life. Consult a healthcare professional at Janatha Poly Clinic for personalized advice on managing menorrhagia.