Menorrhagia Explained: Causes of Heavy Menstrual Bleeding

Clinical Overview & Pathophysiology

Menorrhagia is the clinical term for abnormally heavy or prolonged menstrual bleeding. If you need to change your pad/tampon every hour for several hours, pass blood clots larger than a coin, or if bleeding lasts longer than 7 days, it is classified as menorrhagia. This condition can lead to severe iron-deficiency anemia and chronic exhaustion, requiring clinical investigation.

Key Clinical Facts & Indicators

• Vascular Uterine Factors: Uterine fibroids, endometrial polyps, or adenomyosis causing an increased surface area of the uterine lining.
• Hormonal Anovulatory Cycles: Progesterone deficiency leading to excessive build-up of the endometrium, resulting in heavy bleeding.
• Iron-Deficiency Anemia Link: Chronic blood loss depleting iron stores, causing fatigue, dizziness, pale skin, and brittle nails.
• Secondary Coagulation Issues: Bleeding disorders or use of blood thinners contributing to heavy menstrual cycles.

Lifestyle & Nutritional Guidelines

Manage menorrhagia with a medical evaluation. Keep a cycle log tracking pad changes and clot sizes. Support recovery with an iron-dense diet (dates, green leafy vegetables, beetroot). Maintain optimal hydration. Follow an individualized care plan.

Frequently Asked Questions