Menstrual Cycle

How to Treat Menorrhagia

The type of treatment you get will depend on the cause of your bleeding and how serious it is. Your doctor also will look at things such as your age, general health, and medical history; how well you respond to certain medicines, procedures, or therapies; and your wants and needs.

For example, some women do not want to have a period, some want to know when they can usually expect to have their period, and some want just to reduce the amount of bleeding. Some women want to make sure they can still have children in the future. Others want to lessen the pain more than they want to reduce the amount of bleeding.

Some treatments are ongoing and others are done one time. You should discuss all of your options with your doctor to decide which is best for you. Following is a list of the more common treatments

Drug Therapy

Iron supplements: To get more iron into your blood to help it carry oxygen if you show signs of anemia.

Birth control pills: To help make periods more regular and reduce the amount of bleeding.

Ibuprofen (Advil): To help reduce pain, menstrual cramps, and the amount of bleeding. In some women, NSAIDS can increase the risk of bleeding.

Intrauterine contraception (IUC): To help make periods more regular and reduce the amount of bleeding through drug-releasing devices placed into the uterus.

Hormone therapy (drugs that contain estrogen and/or progesterone): To reduce the amount of bleeding.

Desmopressin Nasal Spray: To stop bleeding in people who have certain bleeding disorders, such as von Willebrand disease and mild hemophilia, by releasing a clotting protein or “factor”, stored in the lining of the blood vessels that helps the blood to clot and temporarily increasing the level of these proteins in the blood.

Antifibrinolytic medicines (tranexamic acid, aminocaproic acid): To reduce the amount of bleeding by stopping a clot from breaking down once it has formed.

Surgical Treatment

Dilation and Curettage (D&C): A procedure in which the top layer of the uterus lining is removed to reduce menstrual bleeding. This procedure might need to be repeated over time.

Operative hysteroscopy: A surgical procedure, using a special tool to view the inside of the uterus, that can be used to help remove polyps and fibroids, correct abnormalities of the uterus, and remove the lining of the uterus to manage heavy menstrual flow.

Endometrial ablation or resection: Two types of surgical procedures using different techniques in which all or part of the lining of the uterus is removed to control menstrual bleeding. While some patients will stop having menstrual periods altogether, others may continue to have periods but the menstrual flow will be lighter than before. Although the procedures do not remove the uterus, they will prevent women from having children in the future.

Hysterectomy: A major operation requiring hospitalization that involves surgically removing the entire uterus. After having this procedure, a woman can no longer become pregnant and will stop having her period.

Menorrhagia is common among women. But many women do not know that they can get help for it. Others do not get help because they are too embarrassed to talk with a doctor about their problem. Talking openly with your doctor is very important in making sure you are diagnosed properly and get the right treatment.

Source
Cdc

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