An average menstrual cycle lasts approximately 28 days, although most women have menstrual cycles...
A normal menstrual cycle occurs every 28 days, and each lasts approximately 5 days. An average menstrual flow consists of 30-40ml of blood loss.
A lady can exhibit a few forms of abnormal uterine bleeding:
Heavy Menstrual Bleeding (HMB)
Heavy menstrual bleeding (HMB), also known as menorrhagia, occurs when there is excessive blood loss leading to the interference with a woman’s physical, emotional, and social well-being. It is characterized and quantified by excessive total menstrual blood loss of more than 80ml or a menstrual duration of more than seven days.
In a normal monthly menstrual cycle, there is an equilibrium between the hormone estrogen and progesterone to guide the thickness and shredding of the uterine lining. In heavy menstrual bleed, there may be an imbalance between the two hormones, leading to a thickened uterine lining. When menstruation occurs, the thicker abnormal uterine wall shreds, causing excessive heavy bleeding. This can occur commonly during adolescence period when the reproductive hormonal system has yet to be fully established. It can also occur when a woman is approaching menopause.
There are other common causes that one should be aware of as well.
Speak to your trusted doctor when you have:
Your doctor will take a thorough, relevant history, and perform an abdominal and pelvic examination. Depending on the individual, your doctor may offer further tests to assess the womb and ovaries structures.
Oral medications such as NSAIDS (mefenamic acids) and antifibrinolytic agents (tranexamic acid) may be used for alleviating symptoms. You are encouraged to consider a diet with high iron stores and iron tablets supplements.
Hormonal treatment in various forms ranging from contraceptive pills, and injections and intrauterine devices, may be used to regulate the cycle and menstrual flow amount.
Any other underlying conditions need to be managed. Those with structural lesions, surgical options, endometrial (uterine) ablation may need to be discussed and considered with the gynecologist.
Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) affect 50-75% of women with regular menstrual cycles.
Painful period cramps, also known as dysmenorrhea, can be a debilitating condition that affects many female’s quality of life — having this symptom monthly can be a big bummer in life.
Some women have absent or infrequent menses. While some ladies are not bothered with missing their menstrual period, a miss of 3 periods (either consecutively or throughout a year) warrants a visit of your doctor’s clinic.