Menorrhagia is a term coined for the heavy flow or prolonged menstrual period that envitably interrupts a woman’s normal activities.An alternate definition is:
“Menstrual loses that is greater than the woman feels she can reasonably manage”
On an average, a woman loses 30 to 40 millilitres of blood during a menstruation cycle which accounts for 2 or 3 tablespoons. A woman is said to reach the condition of Menorrhagia if she loses 80 millilitres of blood in a single period cycle or twice the normal quantity.Under this condition, the blood flow last longer than 7 days and women suffering from Menorrhagia usually requires to change their pads every 2 hours.Women under this condition may pass big blood clots and tends to be anaemic due to the volume of blood loss.
Menorrhagia is caused when an egg is not produced during the menstrual cycle leading to hormonal imbalance.This stage is known as anovulation. This condition can also be during the period when a young woman starts menstruating or in those women whose menopause are approaching.Apart from the above reasons, hormonal imbalances,ovarian dysfunction, uterine fibroids which are non cancerous and benign tumours can also caused heavy bleeding leading to Menorrhagia. Inherited bleeding disorders and women under medications with anti inflammatory and anti coagulant drugs apart from the disease of endometriosis where the endometrial cells are grown outside the uterus instead of normally growing inside can also cause heavy bleeding.Thyroid disorder, cervical and ovarian cancer can also result in heavy bleeding. Miscarriage and Pelvic Inflammatory diseases have also accounted for Menorrhagia.
If the monthly bleeding interferes with the normal daily activities and causes constant lower abdominal and pelvic pain, it is recommended not to take over the counter medicines but consult a gynaecologist at the earliest.