Heavy periods,also called menorrhagia is when heavy menstrual bleeding occurs and is defined as several consecutive menstrual cycles excessive menstrual bleeding, but menstrual bleeding interval time and cycles are all normal, no inter-menstrual bleeding, bleeding after sexual intercourse or bleeding sudden increase.
Clinically, base on bleeding time and basal body temperature (BBT) curve, ovulatory dysfunctional uterine bleeding can be divided into two categories: excessive bleeding and bleeding between menstrual flow.
Mainly because hypothalamus - pituitary - ovarian axis function unstable or defective.
Women of childbearing age heavy periods is generally because corpus luteum function poorly, leads to excessive menstrual bleeding.
Including genital system partial inflammation, cancer and developmental abnormalities, malnutrition; intracranial disorders; other endocrine disorders, such as thyroid, adrenal dysfunction, diabetes, Sheehan's disease; liver disease; blood disorders and so on. using psychotropic drugs, endocrine agents or take IUD contraceptive can occur menorrhagia.
Patients with excessive menstrual blood loss more than 80ml per menstrual cycle. Each patient bleeding subjective judgment criteria are very different. It has been reported in patients complained of excessive menstrual bleeding, only 40% patient blood loss is more than 80ml by the objective measurement.
According to the clinical manifestations and above the relevant checks, 5 to 9 days before menstruation, measure blood progesterone concentration can help to identify ovulation dysfunctional uterine bleeding.
1. drug treatment.
Such as tranexamic acid; or an anti-PG synthetic drugs: flufenamic acid (flufenamic acid), mefenamic acid ( mefenamic acid).Adverse reactions are nausea, dizziness, headache.
It suppresses the secretion of gonadotropin-releasing hormone, gonadotropin-cycle peak and suppress the generation of ovarian hormones, can reduce blood loss, side effect: rash, liver loss, androgenic.
GnRH synergist suppress ovarian function, due to inducing low estrogen side effects, can only short-term use.
Gossypol endometrial atrophy is strong, directly work on the ovary, need to take KCl (potassium sustained release) to prevent hypokalemia side effects. Suitable for patients don't require fertility or patients who is in menopausal process.
2. Surgical treatment.
patients with drug therapy persistent unhealed, elderly, no fertility require, can consider of uterus surgical removal.
In recent years use transcervical endometrial ablation (TCRE) technique, operate by hysteroscopy under surveillance B ultrasound, laser, microwave, or electric coagulation method, destroy the endometrium functional layer and part of the base layer, make it lose ability to respond to ovarian hormone, reducing the amount of menstrual blood loss.
Such shorten the operative time, less trauma, quicker recovery, can apply to patients who don't want to do a hysterectomy, and no fertility requirements, can also enucleation small submucosal fibroids. First use preoperative GnRH synergists for endometrial atrophy.
Period pain relief pad made by herbs, absorb from outside, work on inside of the body, regulate the secretion of gonadotropin-releasing hormone, gonadotropin-cycle peak and suppress the generation of ovarian hormonesreduce blood loss.