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Heavy menstrual flow

Also known as Menorrhagia, Hypermenorrhea, Excessive Menstrual Flow, Excessive Menstruation, and Heavy Periods

Menorrhagia or Hematomunia is an abnormally heavy and prolonged menstrual period at regular intervals. Menorrhagia can be caused by abnormal blood clotting, disruption of normal hormonal regulation of periods, or disorders of the endometrial lining of the uterus. Depending upon the cause, it may be associated with abnormally painful periods (dysmenorrhea).

Source: Wikipedia

What causes it?

The most common causes of heavy menstrual flow are idiopathic excessive menstruation, uterine fibroids, and idiopathic irregular menstrual cycle. Other possible causes, such as vulvodynia, are more rare.


What might my doctor prescribe?

Common Tests and Procedures

Patients with heavy menstrual flow often receive pelvis exam, hematologic tests, complete blood count, examination of breast, ultrasonography, standard pregnancy test, biopsy and mammography .

Common Medications

The most commonly prescribed drugs for patients with heavy menstrual flow include medroxyprogesterone, ortho cyclen, portia, norethindrone (loestrin fe), modicon, sevoflurane, etonogestrel/ethinyl estradiol unidentified, drospirenone / ethinyl estradiol, desogestrel / ethinyl estradiol, nitrous oxide, ethinyl estradiol / norgestrel, ethinyl estradiol / norelgestromin and levonorgestrel .

Medroxyprogesterone
$11
(28 days)
Ortho Cyclen
$26
(28 days)
Portia
$31
(28 days)
Norethindrone (Loestrin Fe)
$59
(28 days)
Modicon
$38
(28 days)
Sevoflurane

Nitrous Oxide

Levonorgestrel
Under $1
(0 days)

Who is at risk?

Groups of people at highest risk for heavy menstrual flow include age 30-44 years sex == female. On the other hand, age 75+ years, sex == male, age 60-74 years, age 1-4 years, and age < 1 years almost never get heavy menstrual flow.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.4x
15-29 years
1.3x
30-44 years
2.7x
45-59 years
1.1x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
1.5x
Hispanic
1.1x
White
0.8x
Other
1.3x
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