সংজ্ঞা

Heavy menstrual bleeding (also called menorrhagia) is excessive menstrual blood loss that interferes with a woman’s quality of life.

ভারী মাসিক রক্তপাত

কারণসমূহ

In some cases, the cause is not known. However, many conditions have been associated with menorrhagia, such as:

  • Uterine fibroid
  • Bleeding disorder (eg, von Willebrand disease)
  • হরমোনের ভারসাম্যহীনতা
  • Cervical or endometrial polyp
  • Ovarian cyst
  • কিছু ওষুধ
  • Intrauterine device (IUD)

ঝুঁকির কারণ

Factors that may increase the risk of menorrhagia include:

  • কিশোরী হচ্ছে
  • Approaching menopause

লক্ষণ

Symptoms of menorrhagia include:

  • Menstrual bleeding lasting more than seven days
  • Unusually heavy bleeding (soaking through a sanitary napkin or tampon every hour)
  • Menstrual flow requiring change of sanitary protection during the night
  • Menstrual flow including large clots
  • Menstrual flow interfering with lifestyle
  • Fatigue and/or shortness of breath (symptoms of anemia)

আমি কখন আমার ডাক্তারকে কল করব?

Call your doctor if you have symptoms of menorrhagia.

রোগ নির্ণয়

Your doctor will ask about your symptoms and medical history. A physical examination, including a pelvic exam, will be done. Tests may include:

  • Pap test
  • রক্ত পরীক্ষা
  • Transvaginal ultrasound
  • Endometrial biopsy (removal of a sample of endometrial tissue)
  • Dilation and curettage (scraping of the inner lining of the uterus)
  • Hysteroscopy (examination of the cervix and fallopian tubes)

চিকিৎসা

Treatment depends on the underlying cause of the heavy menstrual bleeding. Your doctor will work with you to create a treatment plan.

ওষুধ

Your doctor may recommend:

  • Hormonal therapy
  • An IUD that releases the hormone progesterone
  • Nonsteroidal বিরোধী প্রদাহজনক ড্রাগ
  • Iron supplement

Surgical Procedures

In some cases, surgery may be needed, such as:

  • Dilation and curettage
  • Operative hysteroscopy (may be used along with other tools to remove a polyp)
  • Endometrial ablation (removal of the lining of the uterus)—This procedure reduces your chance of becoming pregnant.
  • Hysterectomy (removal of the uterus)—After this procedure, you will not be able to become pregnant.

প্রতিরোধ

There are no specific steps to prevent this condition.

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