Meet Our DoctorElsa de Menezes Fernandes
Obstetrician & Gynaecologist
Menorrhagia is a condition characterised by abnormally heavy or prolonged menstrual bleeding, which may be disruptive to your normal activities.
The most common symptoms of menorrhagia are:
The cause of menorrhagia is not known in some cases; however, several conditions that may cause menorrhagia include hormonal imbalance, dysfunction of the ovaries, uterine fibroids(non-cancerous (benign) tumours of the uterus), uterine polyps, adenomyosis (where endometrial glands are found in the muscular wall of the uterus), intrauterine devices (IUDs), cancer, inherited blood disorders, certain medications (anti-inflammatory medications and anticoagulants), and other medical conditions such as pelvic inflammatory disease (PID), thyroid problems, endometriosis, and liver or kidney disease.
Your doctor will do a pelvic examination and may recommend other tests or procedures such as a pelvic ultrasound scan or a biopsy of the lining of the womb if the woman is over 40 years of age. Biopsy is a technique of removing a piece of tissue from the inner lining of the uterus and is examined under a microscope. This is done to make sure that the cells are normal. Your doctor may also recommend an examination called a hysteroscopy, which involves placing a tiny telescope through your cervix to obtain a direct view of the lining of the womb.
Treatment options will depend on the cause of menorrhagia, the severity of menorrhagia and the overall health of the patient. Some common treatments include:
Surgery may be needed if medication therapy is not successful. The surgical procedures include:
Surgical procedures should generally be deferred until your family is complete. Therefore, discuss with your doctor about the treatment options if you plan to become pregnant in the future.