Treatment of Heavy Menses

Pain in stomach - girl in painMenorrhagia is the medical term used by your Des Moines gynecologist for menstrual periods in which bleeding is abnormally heavy or prolonged. Although heavy menstrual bleeding is a common concern among premenopausal women, most women don’t experience blood loss severe enough to be defined as menorrhagia.

With menorrhagia, every period you have causes enough blood loss and cramping that you can’t maintain your usual activities. If you have menstrual bleeding so heavy that you dread your period, talk with your Des Moines gynecologist today.

Symptoms of Heavy Menses

The signs and symptoms of menorrhagia may include:

    • Soaking through one or more sanitary pads or tampons every hour for several consecutive hours;
    • Needing to use double sanitary protection to control your menstrual flow;
    • Needing to wake up to change sanitary protection during the night;
    • Bleeding for a week or longer;
    • Passing large blood clots with menstrual flow;
    • Restricting daily activities due to heavy menstrual flow;
    • Symptoms of anemia, such as tiredness, fatigue or shortness of breath.

Tests and Diagnosis of Heavy Menses

Your Des Moines gynecologist will ask about your medical history and menstrual cycles and conduct a physical exam.   He may recommend one or more tests or procedures such as:

  • Blood tests;
  • Pap test;
  • Endometrial biopsy;
  • Ultrasound scan;

Based on the results of your initial tests, your Des Moines gynecologist may recommend further testing.

Treatments and drugs

Drug therapy for menorrhagia may include:

  • Iron supplements;
  • Nonsteroidal anti-inflammatory drugs (NSAIDs;
  • Oral contraceptives;
  • Oral progesterone;
  • The hormonal IUD (Mirena).

You may need surgical treatment for menorrhagia if drug therapy is unsuccessful.

Except for hysterectomy, these surgical procedures are usually done on an outpatient basis by your Des Moines ObGyn. Although you may need a general anesthetic, it’s likely that you can go home later on the same day.

We want to be your Des Moines gynecologist; if you are suffering from heavy menses, call our office today at (515) 225-7201 to set up an appointment or to talk to any of our highly qualified staff members. We look forward to serving you.

Thank you for trusting us with your care!

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