Menorrhagia

Menorrhagia 

• Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding.
  

Causes: 

• 1)Hormone imbalance. 
• 2)Dysfunction of the ovaries. 
• 3)Uterine fibroids.
• 4)Polyps. 
• 5)Adenomyosis. 
• 6)Intrauterine device (IUD). 
• 7)Pregnancy complications

Clinical features : 

• 1)Soaking through one or more sanitary pads or tampons every hour for several consecutive hours.
• 2)Needing to use double sanitary protection to control your menstrual flow.
• 3)Needing to wake up to change sanitary protection during the night.
• 4)Bleeding for longer than a week.
• 5)Passing blood clots larger than a quarter.

Investigation: 

• 1)CBC
  
• 2)USG of L/A
• 3)Endometrial Biopsy
• 4) pap test 
• 5)Sonohysterography
• 6)Htsteroscopy

🗒️Rx:

• Treatment for menorrhagia depends on the cause or the underlying medical condition.

1. Cap.Xamic (Tranexamic acid)(500mg)

• 1+1+1............3-5 days
  

2.Tab.Normens (Norethisterone)(5mg)

• 1+0+1............21 days start from 1 st day menstration then stop for 7 days . Repeat 3 cycle.9২১ দিন তারপর ৭দিন বন্ধ। এভাবে ৩ মাস ।( মাসিকের ১ম দিন থেকে)
  

3.Cap.Zif-CL(zinc+iron+folic acid)

• 0+0+1....................1 month

Self-care:

•  Bed rest may be recommended if bleeding is heavy.
  
•  Record the number of pads or tampons you have used so that your doctor can determine the amount of bleeding. Change tampons regularly, at least twice a day.
  
• See your gynaecologist if symptoms persist.​