– Dr Sunitha Devi Vannemreddy. –
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is an abnormally heavy and prolonged menstrual period at regular intervals. Menorrhagia can be caused by abnormal blood clotting, disruption of normal hormonal regulation of periods, or disorders of the endometrial lining of the uterus. Depending upon the cause, it may be associated with abnormally painful periods which is called Dysmenorrhea.
Menorrhagia, are the most common type of abnormal bleeding from the uterus. Periods are considered heavy if there is enough blood to soak a pad or tampon every hour for several consecutive hours. Other symptoms of a heavy period can include:
• Night time bleeding that requires getting up to change pads.
• Passing large blood clots during menstruation.
• A period that lasts longer than seven days.
In severe cases, heavy menstruation can interfere with sleep and daily activities. Blood loss from heavy periods can also lead to anemia, causing symptoms such as fatigue and shortness of breath.
Causes of Menorrhagia:
There are many possible causes of heavy menstrual bleeding. They include:
• Hormonal imbalance, particularly in Oestrogen and progesterone; this is most common in adolescents who recently began their periods and women who are getting close to menopause. Hormonal imbalance may also occur if there is a problem in the function of the ovaries.
• Fibroids or noncancerous tumors of the uterus; fibroids typically occur during childbearing years.
• Miscarriage or ectopic pregnancy — the implantation of a fertilized egg outside the uterus, such as in the fallopian tube.
• Use of blood thinners.
• Problems with a non-hormonal intrauterine device (IUD) used for birth control.
• Adenomyosis, a condition in which the glands from the lining of the uterus become imbedded in the muscular wall of the uterus; this is most likely to occur in middle-aged women who have had several children.
• Pelvic inflammatory disease (PID), an infection of the uterus, fallopian tubes, and other organs of the reproductive system.
• Uterine, ovarian, and cervical cancer; these are rare but possible causes of heavy menstrual bleeding.
• Other medical conditions that can prevent normal blood clotting, including liver, kidney, or thyroid disease, and bleeding or platelet disorders.
To find out if you have menorrhagia, your doctor will ask you about your medical history and menstrual cycles.
He or she may ask you questions like the following:
How old were you when you got your first period?
How long is your menstrual cycle?
How many days does your period usually last?
How many days do you consider your period to be heavy?
How do your periods affect your quality of life?
your doctor may also ask if any of your family members have had heavy menstrual bleeding.
one or more of the following tests will help find out if you have a bleeding problem:
Blood test. In this test, your blood will be taken using a needle. It will then be looked at to check for anemia, problems with the thyroid, or problems with the way the blood clots.
Pap test. For this test, cells from your cervix are removed and then looked at to find out if you have an infection, inflammation, or changes in your cells that might be cancer or might cause cancer.
Endometrial biopsy. Tissue samples are taken from the inside lining of your uterus or “endometrium” to find out if you have cancer or other abnormal cells. You might feel as if you were having a bad menstrual cramp while this test is being done. But, it does not take long, and the pain usually goes away when the test ends.
ultrasound. This is a painless test using sound waves and a computer to show what your blood vessels, tissues, and organs look like. Your doctor then can see how they are working and check your blood flow.
The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat menorrhagia but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat menorrhagia that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a homoeopathic doctor for effective treatment without any side effects.
There are following remedies which are helpful in the treatment of menorrhagia:
Belladonna:The discharge is bright red, with a sensation of heat.Congestion to the head, throbbing headache and pain in the small of the back.Menses too early and profuse. Violent pressing down, as if everything would escape through the genitals.Sometimes it has bad door with lumps.
Borax:Menses too soon and too profuse.Colic, nausea and pain extending from the stomach to the small of the back.She is very nervous and dreads a downward motion.
Calc. Carb.:Menstruation too soon, too profuse and lasting too long.Vertigo when stooping, worse on rising or going upstairs.Feet feel as if they had cold and damp stockings.Preceding the flow, there may be swelling and sensitiveness of the breasts, headache, colic and shivering.During the flow, cutting in the abdomen, toothache, and bearing down.The means are dark colored or black and thick.
Chamomilla: Profuse discharge of dark and clotted blood, flowing at intervals.Violent labor-like pains in the uterus, and tearing in the veins of the legs.There is great irritability of temper, very impatient, can hardly answer a civil question.Frequent desire to pass large quantities of pale urine.
China:Menses too profuse with a flow of dark clots.Great distension of abdomen not relieved by eructations or passing of flatus.Frequent desire to urinate; pale urine.Ringing in ears and fainting spells.Weak periods from the loss of the blood; pulse almost extinct.
Nux Vomica:Menses too early and profuse; discharge of dark colored blood.The discharge after continuing several days, stops and then returns.Cramp like pains in the abdomen, extending down to the thighs.She gets angry and violent without provocation.Habitual constipation, with frequent urging to stool.
Phosphorus:Menses too soon, copious, and lasting too long, with pain in the small of the back and in the abdomen.More applicable to tall, slender people, with fair skin.Constipation; long, slim, hard, difficult stools. Sensations of weakness and emptiness in the abdomen.Much heat up the back, great weakness, with cold feet and legs.
Secale Cor.: Menses are too profuse and too long lasting with violent spasms.Discharge dark, liquid blood, increased by motion.All her symptoms are worse just before the menses.Suitable to thin women.Continuous oozing of watery blood until next period.
Sepia: Violent colic before menses which are too early and profuse.Fetid urine, having sediment like brunt clay.Menorrhagia with a painful sensation of emptiness at the pit of the stomach. Sensation as if everything would escape through the vagina.Yellow spots on the face, especially across the nose.
Medicines also helpful are,
Calcarea fluor.: Menorrhagia with bearing down pains.Associated with displacement of the uterus.
Calcarea Phos.: Menses too early. When anaemia is present.
Ferrum Phos.: Menses too frequent and too profuse, painful, blood bright red, congestion.
Kali Mur.:Black, dark, clotted blood, catarrhal conditions.