Healthy menstruation is a good sign of women’s health, but sometimes, we may feel that we bleed more than we usually do. However, beware if you often must change tampons or pads more than once every hour, or if you experience menstruation for more than a week. It may be a condition called menorrhagia, and it is not only uncomfortable, but also can be a sign of more serious condition that needs doctor intervention.
Common Causes of Menorrhagia
If you think you experience heavy menstrual bleeding, consider these common causes of menorrhagia and see if you should go to the doctor:
- Hormonal imbalance. This is quite common and can be happen during teenage years or some time before your menstruation finishes. If this often happens, or happens all the time and really takes toll of your body, go to the doctor. You probably will get hormonal treatment or pill.
- Cervical polyps. This happens mostly to 20-something women have given birth, and the growth can be so small. The growth can happen on endocervical canal or cervix mucosal surface, and it can protrude through the cervix’s opening. Common causes include infection, congested blood vessel or abnormal response for increased estrogen. The treatment consists of simple procedure at the doctor’s office plus antibiotic.
- Uterine fibroid tumors. Despite the name, this conditions is sometimes not really dangerous, and many women usually just be advised to wait until the tumor is gone if the symptoms are not bad, because this condition is non benign. Others may need treatments for super heavy menstrual bleeding, ranging from hormonal treatments to surgery.
- Endometrial polyps. This is also a non-cancerous growth that usually grows on uterus lining. The exact cause is still unclear, but it is said to be caused by some reaction of excessive estrogen after hormonal treatment. However, it can also be side effect of ovarian tumor. You need to be tested at pathology lab to determine the existence of the polyp before enduring treatment such as D&C and hysteroscopy.
- Pelvic Inflammatory Disease. This often occurs after childbirth, certain gynecological procedures, after abortion, or transmitted by sexual activities. The disease affects fallopian tubes, cervix and uterus, and the treatment is usually by antibiotic therapy.
- Cervix cancer. This is one of the most serious issues in women’s health, and heavy menstrual bleeding is just one of its symptoms. 90% of the cases were caused by Human Papillomavirus. To prevent this, women in the reproductive ages should check themselves regularly. The common treatments include chemotherapy, radiation therapy, and surgery.
- Short of von Wilebrand Disease, this is one of bleeding disorders that often occurs on women, in which the clotting factors in the blood are released and causing heavy bleeding. The treatments are usually nasal spray or clotting replacement.
- Contraceptive devices. Sometimes, when a woman uses certain contraceptive device that does not suit her, it can cause heavy menstrual bleeding. If this happens, you should go to the doctor and ask for other alternative.
Heavy menstrual bleeding can be a sign of more serious condition, so if this happens all the time, do not hesitant to go to the doctor.