Presentation
Endometrial resection uses an electrosurgical wire loop to remove the lining of the uterus, and is typically used when heavy bleeding is experienced, but no underlying uterine problems are present. [wise-geek.com]
Other objects, features and advantages of the invention will be more apparent to those skilled in the art from a reading of the present disclosure and the accompanying claims. [patents.google.com]
It is present in some connective tissue diseases such as Marfan or Ehlers-Danlos syndromes. SEE: hypomobility. hypermobile (hī″pĕr-mō′bĭl), adj. hypermorph (hī′pĕr-mŏrf) [″ + morphe, form] 1. [fadavispt.mhmedical.com]
Entire Body System
- Anemia
Tinta Julianawati Prodi Sarjana Bidan, STIKes Awal Bros Batam Siti Nur Lela Prodi Sarjana Bidan, STIKes Awal Bros Batam Keywords: anemia, education, hypermenorea Abstract Background: Anemia in adolescents can have an impact on decreasing work productivity [journals.stikim.ac.id]
Complications Excessive or prolonged menstrual bleeding can lead to other medical conditions, including: Anemia. Menorrhagia can cause blood loss anemia by reducing the number of circulating red blood cells. [mayoclinic.org]
It may cause anemia. Called also menorrhagia. hy·per·men·or·rhe·a ( hī'pĕr-men'ō-rē'ă ), Do not confuse this word with polymenorrhea. Excessively prolonged or profuse menses. [medical-dictionary.thefreedictionary.com]
• HYPERMENORRHEA (noun) The noun HYPERMENORRHEA has 1 sense: 1. abnormally heavy or prolonged menstruation; can be a symptom of uterine tumors and can lead to anemia if prolonged Familiarity information: HYPERMENORRHEA used as a noun is very rare. [audioenglish.org]
- Fatigue
Treatment Principle Herb Formulas Points Clinical Manifestations Pale-red to normal Blood color Thin and watery Blood with clots Irregular menstruation Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention [americandragon.com]
Signs and symptoms include pale skin, weakness and fatigue. Although diet plays a role in iron deficiency anemia, the problem is complicated by heavy menstrual periods. Severe pain. [mayoclinic.org]
Signs and symptoms include pallor, weakness and fatigue. Although diet plays a role in iron deficiency anemia, the problem is complicated by heavy menstrual periods. Most cases of anemia are mild, but even mild anemia can cause weakness and fatigue. [pharmacypedia.org]
These mainly include clumsiness, mood swings, fatigue or irregularity of bleeding [4]. Because of the high blood loss can also lead to a lack of iron. [this.place]
- Infertility
The Iranian Journal of Obstetrics, Gynecology and Infertility, 9 (2). pp. 17-22. Abstract Introduction: Excessive menstrual bleeding is a common complaint and each year around 5 of 30-49 year old women have this problem. [eprints.mums.ac.ir]
In clinical use, DSS has been proven to be effective in treating gynecological disorders such as dysmenorrhea, hypermenorrhea, infertility, etc. [freethesaurus.com]
Treat only if symptomatic Pharmacologic GnRH agonists, progestins, levonorgestrel-releasing IUD NSAIDs Antifibrinolytics Androgenic agonists (e.g., danazol) Endometrial polyp Often asymptomatic Abnormal uterine bleeding Infertility/difficulty conceiving [amboss.com]
Iranian J Obstet Gynecol Infertil 2012; 15: 13-19. (in Persian) 17. Rostami-Dovom M, Ramezani Tehrani F, Farahmand M, Hashemi S, Rezaee N, Azizi F. [ijrm.ir]
- Precocious Puberty
[…] elsewhere classified ( R00 - R94 ) Diseases of the genitourinary system N92 ICD-10-CM Diagnosis Code N92 Excessive, frequent and irregular menstruation 2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes postmenopausal bleeding ( N95.0 ) precocious [icd10data.com]
The history should determine the following information: Premenarchal bleeding, which may be associated with precocious puberty (bleeding before the age of 9 years) Onset and cessation of menses The characteristics of the menstrual cycle: interval, duration [ncbi.nlm.nih.gov]
- Pallor
[…] hour • The need to use double sanitary protection to control your menstrual flow • Menstrual period that lasts more than seven days • Menstrual flow that includes large blood clots Excessive and prolonged menses may lead to anaemia, which causes: • Pallor [healthhub.sg]
[…] bleeding gums, easy bruising Past medical history including: coagulopathy, platelet function disorders, recurrent haemorrhagic cysts, chronic medical conditions Adolescent assessment (HEADSS screen) Examination Vital signs: hypotension, tachycardia Skin: pallor [rch.org.au]
Assess for: Pallor (anaemia) Palpable uterus or pelvic mass Try to ascertain if the uterus is smooth or irregular (fibroids) A tender uterus or cervical excitation point toward adenomyosis/endometriosis Inflamed cervix/cervical polyp/cervical tumour Vaginal [teachmeobgyn.com]
Look at the tongue for pallor and the nails for koilonychia. Examination of the abdomen always precedes pelvic examination; otherwise, large pelvic masses can be missed. [patient.info]
Signs and symptoms include pallor, weakness and fatigue. Although diet plays a role in iron deficiency anemia, the problem is complicated by heavy menstrual periods. Most cases of anemia are mild, but even mild anemia can cause weakness and fatigue. [pharmacypedia.org]
Cardiovascular
- Hypertension
[…] dose norethisterone Iron infusion as required or PRBC if haemodynamic instability despite fluid resuscitation Specialist review (Gynaecology) and consider inpatient observation *** Contraindications include (consider progesterone only): uncontrolled hypertension [rch.org.au]
Pityriasis rosea Placental insufficiency Pleural effusion Pneumocystis pneumonia Pneumonia Pneumothorax Poisoning Poliomyelitis Polycystic kidney disease Polycystic ovary syndrome Polycythemia vera Polymyalgia rheumatica Polyneuropathy Porphyrias Portal hypertension [amboss.com]
The cause may also lie outside your uterus - for example, stress, hypertension, clotting disorder, kidney or liver failure [9]. [this.place]
Beta-blockers (used in hypertension, sometimes because of their anti-stress effect) must be particularly avoided in the evening because they inhibit the synthesis of melatonin, which gives the signal « night » to the organism. [sommeil-mg.net]
PCOS period issues are one of the leading reasons women consult their physicians to seek medical solutions, along with obesity and hypertension-related symptoms. 7 It is crucial to correct PCOS- related menorrhagia because the lack of regular periods [pcos.com]
Neurologic
- Seizure
Mamata Hegde 7 yr old with seizures, nystagmus, poor responsiveness and irritability Dr. Nihaal Reddy A 42-year-old male develops a large hematoma a day later after fractured his Toe, the patient is on a new oral anticoagulant. [curofy.com]
[…] fever Rheumatoid arthritis Rhinitis Rosacea Roseola infantum Rotavirus infection Rubella Sarcoidosis Scabies Scaphoid fracture Scarlet fever Schistosomiasis Schizophrenia Scrotal abnormalities Seborrheic dermatitis Second-line lipid-lowering agents Seizure [amboss.com]
Urogenital
- Dysmenorrhea
The women's dysmenorrhea and hypermenorrhea disappeared by the end of the first postoperative menses. [ncbi.nlm.nih.gov]
Dysmenorrhea Amenorrhea Menorrhagia Oligomenorrhea Metrorrhagia [hon.ch]
DB00939 Meclofenamic acid An NSAID used to treat mild to moderate pain, primary dysmenorrhea, heavy menstrual blood loss, rheumatoid arthritis, and osteoarthritis. [drugbank.ca]
• Dysmenorrhea : Painful menstruation. • Spotting : Bleeding reduced in its abundance (drop by drop). When should you see a gynecologist ? Know that a lasting or repeated anomaly in periods justifies a medical consultation. [naturalexis.com]
Dys-, Hyper-, Hypo- Dysmenorrhea is a word for painful menstruation or difficult menstrual flow. ' Dys -' means 'bad' or 'difficult.' [study.com]
- Vaginal Bleeding
To assess impact of vaginal bleeding on quality of live, the first available score after a vaginal bleeding was compared with the last available score of WOCBPs without vaginal bleeding. [ashpublications.org]
Please remove this message after… … Wikipedia Vaginal bleeding — DiseaseDisorder infobox Name = Vaginal bleeding ICD10 = N92 N93 ICD9 = Vaginal bleeding refers to bleeding in females that is either a physiologic response during the non conceptional menstrual [medicine.academic.ru]
- Metrorrhagia
Search Blocks: PubMed:: "Menstruation Disturbances"[Mesh:NoExp] OR "Metrorrhagia"[Mesh] OR metrorrhagia[tiab] OR "Menorrhagia"[Mesh] OR menorrhagia[tiab] OR intermenstrual bleeding*[tiab] OR intermenstrual blood loss[tiab] OR dysfunctional uterine bleeding [blocks.bmi-online.nl]
Dysmenorrhea Amenorrhea Menorrhagia Oligomenorrhea Metrorrhagia [hon.ch]
Millefolium: It is indicated for metrorrhagia, menses early and with bright-red fluid. [kunalhomoeopharmacy.com]
Menstrual periods at irregular intervals (metrorrhagia) Irregular menstrual periods (metrorrhagia) can be due to benign growths in the cervix, such as cervical polyps. The cause of these growths is usually not known. [medicinenet.com]
- Polymenorrhea
Poly-, Oligo-, A-, Menometro- Please do not confuse hypermenorrhea and hypomenorrhea with polymenorrhea and oligomenorrhea, respectively. Polymenorrhea is a word for menstrual cycles that occur at a higher frequency than normal. [study.com]
Polymenorrhea (abnormally frequent menstruation) Clinical Information A disorder characterized by abnormally heavy vaginal bleeding during menses. [icd10data.com]
Polymenorrhea is a term used to describe a menstrual cycle that is shorter than 21 days. A normal menstrual cycle is between 24 and 38 days long. Polymenorrhea is just one form of abnormal uterine bleeding. [healthline.com]
This can lead to pelvic pain and polymenorrhea. Sometimes, the cause of polymenorrhea is unclear, in which case the woman is said to have dysfunctional uterine bleeding. [medicinenet.com]
Polymenorrhea (abnormally frequent menstruation) 626.2 Excludes Applies To Heavy periods Menometrorrhagia Menorrhagia Polymenorrhea ICD-9-CM Volume 2 Index entries containing back-references to 626.2 : [icd9data.com]
- Oligomenorrhea
The exact opposite of this is oligomenorrhea, abnormally infrequent or light menstruation in women with previously normal periods. Oligomenorrhea is most likely caused by hormonal imbalances and endocrine disorders, like thyroid problems. [study.com]
Dysmenorrhea Amenorrhea Menorrhagia Oligomenorrhea Metrorrhagia [hon.ch]
N91.4 Secondary oligomenorrhea N91.5 Oligomenorrhea, unspecified N92 Excessive, frequent and irregular menstruation N92.0 Excessive and frequent menstruation with regular cycle N92.1 Excessive and frequent menstruation with irregular cycle N92.2 Excessive [icd10data.com]
Workup
SEE YOUR GYN: U need a workup, depending on the cause and what you child bearing desires are, bcpills, or lysteda, or endometrial abaltion that I do in offcie, or sometimes depending on the situation you may need a hysterectomy ( usually u will not need [healthtap.com]
Bleeding from the urethra or rectum always must be considered in the workup, especially in the postmenopausal woman who has negative findings after a workup for vaginal bleeding. [emedicine.medscape.com]
Based on the clinical presentation, a workup for thyroid disorders, liver disorder, sepsis, or leukemia may be indicated. Endometrial tissue sampling should be performed in patients with AUB who are older than 45 years as a first-line test. [acog.org]
Serum
- Hyperprolactinemia
[…] failure Steroid hormones Uterine fibroids Vascular imbalance Differential Diagnoses Adnexal Tumors Adrenal Carcinoma Adrenal Incidentaloma Anovulation Cervicitis Elective Abortion Endometrial Carcinoma Endometritis Gestational Trophoblastic Neoplasia Hyperprolactinemia [emedicine.medscape.com]
Elevated Prolactin Levels (Hyperprolactinemia). Prolactin is a hormone produced in the pituitary gland that stimulates breast development and milk production in association with pregnancy. [pennstatehershey.adam.com]
Colonoscopy
- Polyps
However, many conditions have been associated with menorrhagia, such as: Uterine fibroid Bleeding disorders, such as von Willebrand disease Hormonal imbalance Cervical or endometrial polyp Ovarian cyst Certain medications Intrauterine device (IUD) Risk [wkhs.com]
Other causes include: • Endometrial cancer • Inflammation or infection of the vagina, cervix, or pelvic organs • Polyps (small growths on the cervical or uterine wall) • Thyroid conditions • Liver, kidney, or blood disease, and the use of blood-thinning [healthhub.sg]
However, many conditions have been associated with menorrhagia, such as: Uterine fibroid Bleeding disorders, such as von Willebrand disease Hormonal imbalance Cervical or endometrial polyp Ovarian cyst Certain medications Intrauterine device (IUD) Factors [health.cvs.com]
Polyps. Small, benign growths on the lining of the uterus (uterine polyps) may cause heavy or prolonged menstrual bleeding. Adenomyosis. [mayoclinic.org]
Treatment
The authors conclude that MEA is a safe, effective, a low-cost treatment, and they recommend that it be considered as a standard treatment for conservative therapy-resistant excessive menstruation. [ncbi.nlm.nih.gov]
Conclusions: The insertion of a levonorgestrel IUD for the local hormonal treatment of recurrent hypermenorrhea refractory to oral treatment can be tried before endometrial ablation. [ejog.org]
These tests should not be done during acute bleeding or with recent NSAID use Treatment Treatment is targeted to the underlying cause; for anovulatory bleeding, the objective is to stabilise the endometrium (oestrogen for initial haemostasis and progestins [rch.org.au]
Conclusions: Tranexamic acid given during menstruation is a safe and highly effective treatment for excessive bleeding. [eprints.mums.ac.ir]
Prognosis
Outlook / Prognosis What is the prognosis for living with heavy menstrual bleeding? Left untreated, heavy periods can interfere with your life. In addition, heavy menstrual bleeding can cause anemia and leave you feeling tired and weak. [my.clevelandclinic.org]
diagnosis, treatment, and follow-up care, prognosis is excellent. [emedicine.medscape.com]
For menorrhagia and metrorrhagia, prognosis depends on the underlying cause. Alternatives Possible diagnoses that mimic amenorrhea include pregnancy or disorders associated with the central nervous system, thyroid, pituitary, ovary, or uterus. [nmihi.com]
Etiology
Other sequelae associated with menorrhagia usually are related to the etiology. [emedicine.medscape.com]
Etiologies of Acute Abnormal Uterine Bleeding The etiologies of acute AUB, which can be multifactorial, are the same as the etiologies of chronic AUB. [acog.org]
Secondary amenorrhea Definition: absence of menses for more than 3 months (in women with previously regular cycles) or 6 months (in women with previously irregular cycles) Etiology Pregnancy → most common cause of secondary amenorrhea Ovarian disorders [amboss.com]
"Dysmenorrhea in adolescents and young adults: etiology and management". Journal of Pediatric and Adolescent Gynecology. 19 (6): 363–71. doi:10.1016/j.jpag.2006.09.001. PMID 17174824. ^ Smith, Roger P. (2018). [en.wikipedia.org]
Epidemiology
Laughlin SK, Schroeder JC, Baird DD New directions in the epidemiology of uterine fibroids. Semin Reprod Med 2010; 28: 204–17. [reproduct-endo.com]
The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and [ingentaconnect.com]
Epidemiology of abnormal uterine bleeding. Best Pract Res Clin Obstet Gynaecol 2007; 21: 887-890. [DOI:10.1016/j.bpobgyn.2007.03.012] [PMID] 55. Zakherah MS, Sayed GH, El-Nashar SA, Shaaban MM. [ijrm.ir]
Epidemiology Menorrhagia is a very common complaint: Around 30% of women report having periods which are heavy [ 1 ]. The perception of what constitutes "heavy" menstrual bleeding is subjective. [patient.info]
Epidemiology United States statistics Although menorrhagia remains a leading reason for gynecologic office visits, only 10-20% of all menstruating women experience blood loss severe enough to be defined clinically as menorrhagia. [17] Age-related demographics [emedicine.medscape.com]
Pathophysiology
Aetiology & Pathophysiology FIGO (International Federation of Gynaecology and Obstetrics) have produced a useful mnemonic by which to classify the causes of heavy menstrual bleeding. [teachmeobgyn.com]
Pathophysiology Knowledge of normal menstrual function is imperative in understanding the etiologies of menorrhagia. Four phases constitute the menstrual cycle, follicular, luteal, implantation, and menstrual. [emedicine.medscape.com]
Prevention
DB01395 Drospirenone A progestin used in oral contraceptive pills for the prevention of pregnancy and other conditions. DB00823 Ethynodiol diacetate An oral contraceptive used to prevent pregnancy. [drugbank.ca]
We conclude that leuprolide as a single agent is a safe and effective method to prevent menstrual bleeding during BMT. [ucdavis.pure.elsevier.com]
There are no current guidelines to prevent heavy menstrual bleeding. [wkhs.com]
Prevention Currently there is no way to prevent most causes of menorrhagia. [innerbody.com]