Extra Heavy Period – With The Speculum A Doctor See That Bleeding Is Coming From The Uterus And Not From Somewhere Else

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Is the patient taking hormones or not?

The Doctor might order a special ultrasound examination, alternatively and perhaps the presence of a polyp or fibroid.

I’m sure that the first thing to consider is always the medical history. Does she have a history of known uterine fibroids? Uterine biopsy requires the passing of a small tubelike device through the cervix and into the uterine cavity, suction is applied and small fragments of tissue are removed for microscopic examination. Hormone related postmenopausal bleeding is usually controlled by manipulation and alteration of the hormone regimen. Certain hyperplasias may require extra progesteronelike supplementation if you are going to reverse this process. With that said, this of course depends on the cause of the bleeding. Notice that polyps or fibroids protruding into the uterine cavity can removed with the hysteroscope, and the lining may consequently be sealed with electrical energy to minimize any further PMB. What about treatment options? By the way, the good news is that, in a large study of preand perimenopausal women, heavy flow was not caused by endometrial cancer.

Less than 10 come close to the endometrium and are called submucus fibroids, Fibroids are benign tumors of fibrous and muscular tissue that grow in the muscle of the uterine wall.

This means that a diagnostic test for cancer called a D C isn’t necessary.

Fibroids are rarely the real cause for heavy flow and are not a reason to treat very heavy flow any differently. Basically, only these rare fibroids could possibly influence flow. You should take it into account. Higher estrogen with lower progesterone levels causes both heavy bleeding and the growth of fibroids. In women ages 40 to 50, those with heavy flow commonly also have fibroids. Now pay attention please. Heavy flow was most common and occurred in 20 of women ages 40 44″. If you have started iron therapy, ferritin which shows how much iron is stored in the bone marrow might be ordered if heavy flow is going on for quite a while, or you eat a vegetarian diet that tends to be low in iron. Now regarding the aforementioned fact… Ferritin can be low even if the hemoglobin and hematocrit are normal. Sometimes, heavy bleeding means a miscarriage so your doctor might order a pregnancy test.

The consequences of heavy flow is loss of iron that is needed for hemoglobin to carry oxygen in dark red blood cells low iron levels cause anemia.

When periods are very heavy or you are experiencing flooding or passing big clots you have what doctors call menorrhagia.

Purpose of this article is to define normal and very heavy menstrual bleeding, to explain what causes heavy flow, and to show what you yourself can do in dealing with heavy flow. Following that it’s wise to use a cyclic treatment for days 12 through 27 of the cycle for six more months. As flow gets lighter the progesterone therapy can be decreased to a normal dose and taken days 14 27″ of the cycle. In perimenopause, especially in women with a history of acne and unwanted facial hair it’s often necessary to treat with daily high dose progestin or progesterone therapy for three months to decrease the risk for endometrial cancer.

Thankfully So there’re two medical treatments for very heavy flow that are shown to be both safe and effective in controlled trials.

The first is the use of tranexamic acid, a medication that acts to increase the blood clotting system and decreases flow by about 50percent.

Both of these, studied over years, are nearly as effective as endometrial ablation, the surgical scrapping or destruction of the uterine lining, in controlled trials. Either of the emergencies therapies, tranexamic acid and Mirena, going to be used with cyclic normal dose progesterone, ibuprofen and extra salty fluid if needed. Loads of info can be found on the internet. The second is a ‘progestinreleasing’ IUD called Mirena that decreases flow by about 8590″. Ok, and now one of the most important parts. If the number of soaked sanitary products tals 16 or more or if you are recording 4”s you have very heavy flow.

While any day of your flow, the easiest way.

To accurately record the general amount of soaked sanitary products every day you have to recall the number you changed that were half full and multiply that to give the tal number of fully soaked ones.

Keeping the Menstrual Cycle Diary or Daily Perimenopause Diary is a convenient way to assess the amount and timing of flow. Accordingly a maxi or super tampon or pad holds about two teaspoons or 10ml of blood therefore record every larger soaked sanitary product as a record your best judgment about the quantity of flow where a 1” is spotting, 2” means normal flow, 3” is slightly heavy and 4” is very heavy with flooding and also clots. As a result, heavy bleeding is so common in perimenopause that when a woman going to be in a remote place, she should ask her doctor for a 16day supply of 10mg medroxyprogesterone tablets to take with her. On p of this, most women bleeding this heavily will have a low blood count or evidence of iron deficiency.

It’s a well-known fact that the definition of heavy flow can be adjusted to be more like nine to 12 soaked regular sized sanitary products in a period, in practice only about a third of women have anemia. Officially, flow of more than 80 ml per menstrual period is considered menorrhagia. Volunteer research participants are the heart of all CeMCOR research. Also, participants are invited to provide feedback on study processes, to learn their own results and after a study, be the first to hear what the entire study found. Please become a CeMCOR research participant you can contribute to improving the scientific information available for daughters, friends and the wider world of women. That means medroxyprogesterone 10 mg both morning and evening during cycle days ’12 If’ heavy flow persists, add oral micronized progesterone, Prometrium, 300 or 400 at bedtime. I am sure that the starting progestin dose might be double the usual dose, I’d say if flow is extremely heavy or had been going on for a long time. It needs to be taken for at least 16 days a month, like before. There is more information about it on this site. The quantity of flow was highly variable it ranged from a spot to over two cups in one period!

In a randomly selected group of premenopausal women, the most common quantity of menstrual flow was about two tablespoons in a whole period.

That means Surely it’s normal to soak one to seven normalsized pads or tampons in a whole period.

Women who are taller, have had children and are in perimenopause have the heaviest flow. Any soaked ‘normal sized’ tampon or pad holds a teaspoon of blood. Then the usual length of menstrual bleeding is four to six days. I know that the usual percentage of blood loss per period is 10 to 35 ml. Early in perimenopause when cycles are regular, approximately 25percentage of women will have at least one heavy period. Progesterone levels are lower since ovulation is less consistent and short luteal phases with fewer than 10 progesterone days are common in perimenopause. Perimenopausal estrogen levels are higher and progesterone levels are lower. Nevertheless, with the speculum a doctor see that bleeding is coming from the uterus and not from somewhere else.

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