Why does menorrhagia occur?

We know that girls have menstruation every month. Of course, some girls may not have their period for a month due to certain reasons. Of course, this is not a normal phenomenon. Generally speaking, the time of menstruation is quite regular every month. So, I wonder if some girls have experienced excessive menstruation when they have their period. What should they do in this situation?

1. Medication

(1) For patients who do not require contraception or are unwilling to use hormone treatment, antifibrinolytic drugs such as tranexamic acid or anti-PG synthetic drugs such as flufenamic acid (flufenamic acid) and mefenamic acid (mefenamic acid) can be used. Adverse reactions may include nausea, dizziness, headache, etc.

(2) For patients who require contraception, endometrial atrophy treatment can be used.

(3) Others: Danazol is a derivative of 17a-ethynyltestosterone. It can inhibit the secretion of gonadotropin-releasing hormone, inhibit the peak of the gonadotropin cycle and the production of ovarian sex hormones, and reduce blood loss. However, attention should be paid to side effects such as rash, liver damage, and virilization. Gonadotropin-releasing hormone enhancers are effective in suppressing ovarian function, but due to side effects caused by low estrogen levels, they can only be used for a short period of time. Cottonpol has a strong effect in atrophying the endometrium and can also act directly on the ovaries. Potassium chloride (slow-release potassium) should be taken in addition to prevent the side effect of hypokalemia. Suitable for patients in the menopausal transition period who no longer desire fertility.

2. Surgery

For patients who are ineffective with drug treatment, whose disease persists, are elderly, and have no desire to have children, surgical removal of the hysterectomy can be performed. In recent years, the transcervical endometrial resection (TCRE) procedure has been developed. It uses laser, microwave, or electrocoagulation to destroy the functional layer and part of the basal layer of the endometrium through hysteroscopy under the monitoring of B-ultrasound examination, so that it loses the ability to respond to ovarian sex hormones, thereby reducing menstrual blood loss. This type of operation takes a short time, involves little trauma, and has a quick recovery. It is suitable for those who are not suitable for or unwilling to have their uterus removed and have no desire to have children. It can also remove small submucosal fibroids at the same time. Before surgery, gonadotropin-releasing hormone enhancers are used to shrink the endometrium.

So when you experience excessive menstruation, don’t think it’s nothing. In fact, it implies that there is something wrong with your body. At this time, you should go to the hospital immediately to check where the problem is, and then undergo further treatment. Finally, I hope everyone can have a healthy body.