Menorrhagia

Menorrhagia Overview:

Menorrhagia is a term that refers to heavy menstruation within a normal menstrual cycle.

 

Aetiology:

Causes Can Include:

  • Functional menorrhagia
  • Uterine fibroids
  • uterine polyps
  • Endometriosis
  • Adenomyosis
  • Pelvic Inflammatory Disease (PID)
  • Contraception (IUD)
  • Non-gynaecological Causes
  • Blood/Hematological
  • Endocrine (Liver, Thyroid, or Adrenal dysfunction)
  • Miscarriage
  • Relative oestrogen excess / Liver congestion
  • Prostaglandin imbalance
  • Poor uterine tone
  • Nutritional deficiencies
  • Debility or constitutional weakness
 

Symptoms:

Excessive menstrual bleeding

Menstrual bleeding lasts longer than a week

 

Diagnostic Considerations:

  • Iron studies
  • Full blood count
  • Coagulation factors (rule out von Willebrand disease; ITP; and factor II, V, VII, or IX deficiency)
  • Human chorionic gonadotropin (pregnancy test)
  • Thyroid function tests and prolactin level
  • Liver function and/or renal function tests
  • Hormone assays
  • Pap smear
 

Therapeutic Aims:

1. Reduce blood Loss

...

  • Uterine Astringents ()
  • general Astringents ()
  • insert

2. Inhibit Prostaglandin

...

  • prostaglanding Inhibitors ()
  • ...
 

Differential Diagnosis:

INSERT

 

Herbs For Menorrhagia:

 

Author:

Justin Cooke

The Sunlight Experiment

Updated March 2018


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