| Risk Factors
Heavy menstrual bleeding (also called menorrhagia) is excessive menstrual blood loss that interferes with a woman's quality of life.
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In some cases, the cause is not known. However, many conditions have been associated with menorrhagia, such as:
Factors that may increase your chances of menorrhagia include:
Symptoms of menorrhagia include:
- Menstrual bleeding lasting more than 7 days
- Unusually heavy bleeding (soaking through a sanitary napkin or tampon every hour)
- Menstrual flow requiring change of sanitary protection during the night
- Menstrual flow including large clots
- Menstrual flow interfering with lifestyle
Fatigue and/or shortness of breath (symptoms of
When Should I Call My Doctor?
Call your doctor if you have symptoms of menorrhagia.
You will be asked about your symptoms and medical history. A physical examination, including a pelvic exam, will be done. Tests may include:
Treatment depends on the underlying cause of the heavy menstrual bleeding. Your doctor will work with you to create a treatment plan.
Your doctor may recommend:
- Hormonal therapy
- An IUD that releases the hormone progesterone
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Iron supplement
In some cases, surgery may be needed, such as:
- Dilation and curettage
- Operative hysteroscopy—may be used along with other tools to remove a polyp
Removal of the lining of the uterus—
Removal of the uterus—
There are no current guidelines to prevent heavy menstrual bleeding.