It is hard to define what heavy periods are and also if a woman needs to be investigated to find a reason or treat a problem.
Medical assistance should be requested if:
- You become anaemic or Iron deficient as this may impair your performance or daily activities.
- You have an episode of vaginal bleeding (any amount counts) after your menopause.
- You notice a difference in the pattern of your periods.
- You notice vaginal bleeding out of your normal periods time.
- You develop pain with your periods (It should not be assume than age is related to periods problems).
There are quite a number of conditions that cause heavy or abnormal periods or abnormal vaginal bleeding, the following are examples:
- Hormonal causes.
- Adenomyosis:The lining of the uterus grows into the muscle or wall of the uterus.
- Fibroids: Lumps arising from the muscle of the uterus.
- Polyps: Small lumps arising from the lining of the uterus.
- Ovarian cysts
- Precancer or hyperplasia of the lining of the uterus.
- Cancer of the uterus.
- Medical conditions like thyroid disease, pelvic inflammatory disease and endometriosis.
Treatment of heavy periods or menorrhagiaMedical treatment may include non-steroidal anti-inflammatory drugs, oral contraceptive pills, progesterone and others.
Surgical treatment may involve:
- Insertion of a Mirena coil: it releases a progesterone hormone that controls the bleeding.
- Operative hysteroscopy: to remove polyps, some type of fibroids and to exclude cancer
- Ablation: burning or destruction of the lining of the uterus to prevent it from growing again.
- Hysterectomy: removal of the uterus (normally the ovaries are not removed).
For more information, please contact us