Heavy Menstrual Bleeding: What Girls (and Parents) Need to Know

It is a normal change for a girl to begin with menstrual periods as puberty enters her life. Some girls might be anxious about their period to start while the others are excited about this kind of change in their life. This is why parents, especially mothers, need to know better about menstrual cycles as to properly guide them at the beginning of this phase so they can help with their daughter’s transition.
Heavy Menstrual Bleeding: What Girls (and Parents) Need to Know
The menstrual cycle is a complicated hormonal process which affects the body and causes change. While the menstruation blood flow ranges from light to heavy normal, one should know as to how heavy menstruation becomes out of hand and what is already not a normal blood flow. Many girls and parents have difficulty in assessing what passes as a normal menstruation, thus here are some knowledge about heavy menstrual bleeding.
What Constitutes as Heavy Menstrual Bleeding?
One can consider a woman is suffering from heavy menstrual bleeding when the blood loss is greater than about 80 milliliters each cycle. Of course, you cannot just be able to measure the volume of menstrual blood loss-what is done to determine heavy menstrual bleeding is the frequency of how many times a woman changes her sanitary pads or tampons, as well as the clotting, those that are larger than 1 inch in diameter.
Having this condition might impact the quality of life and trigger stress since this comes with lots of considerations such as continuously changing sanitary protection, which can make it difficult for women to carry daily responsibilities. Additionally, one should be wary that menorrhagia or heavy menstrual bleeding might indicate a more serious condition. 
Symptoms and When to See a Doctor
Look out for these signs and symptoms during the menstruation period so as to seek for medical help immediately after keeping an eye out of your child’s menstrual period.
  • Using one or more sanitary pads or tampons every hour due to soaking it with menstrual blood for a few consecutive hours 
  • The need to double the protection you need to control the menstrual flow
  • The menstruation period lasts up to more than 7 days 
  • Having larger than a quarter blood clot
  • Restricted daily activities due to heavy menstrual bleeding
  • Being anemic, tired, fatigued, and having shortness of breath

When to see a doctor
If you already have these signs and symptoms, then it would be wise to seek medical help. However, if you are experiencing the following occurrence below then you should go and seek out an immediate help and trip to the doctor.
  • Bleeding between irregular vaginal bleeding or periods.
  • Vaginal bleeding after menopause
  • Vaginal bleeding that it soaks up one pad or tampon an hour for more than two hours.

A series of tests, medical history, and menstrual cycles will be asked from you so that you will be diagnosed well enough and have prescription and recommendation that are right for your needs. Your doctor will do physical exams and might recommend one or two more tests.
Blood Tests
You may be evaluated for iron deficiency and other conditions just by looking at the sample of your blood. Thyroid disorders and blood-clotting can also be detected by using this test.
Pap Test
Cells from your cervix are collected and is tested for possible infection, inflammation or any changes that may lead to cancer.
Endometrial Biopsy
A sample from the inside of your uterus might be taken as a sample to be examined by a pathologist.
This type of imaging uses sound waves to make images of your uterus, ovaries, and pelvis.
Treatment for Heavy Menstrual Bleeding
The treatment for this condition depends on how serious the bleeding is, treatments range from lifestyle, medication up to surgeries. Additionally, the treatment depends on your response to some medicine and your wants and needs. Since some of the treatments may affect your conception, your treatment also depends on that kind of decision.
For common treatments, these include the following medications and treatments:
  • Iron supplements to avoid being anemic and put more iron into your blood.
  • Ibuprofen (Advil) to manage the pain and amount of bleeding
  • Birth control pills, to make more regular and reduce bleeding during periods.
  • IUD or Intrauterine Contraception, which makes periods more regular while reducing the bleeding.
  • Antifibrinolytic drug to reduce the bleeding

Treatments and Surgeries
  • Hormone therapy 
  • Dilation and curettage, which reduces the bleeding by removing the top layer of the uterus lining
  • Hysterectomy, which surgically removes the uterus and you will absolutely stop having your period
  • Endometrial resection which removes all or just parts of the lining of the uterus.

It is encouraged for young women to give their doctor an accurate information and description of their menstrual cycles. In addition to that, taking extra care during the period should be a must, such as wearing comfortable menstruation cups like from the daisy cup and to be cautious of one’s lifestyle.


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