Menorrhagia | Definition | Aetiology | Clinical features | Investigation | Management

Definition : 

• Menorrhagia is a profusion  and to protected menstruation.
• Excessive discharge of blood occuring at the menstrual period.
• It is important to emphasise that the menstrual cycle is unaltered, bleeding associated with irregular cycle should not be regarded as menorrhagia.
• Menorrhagia common in premenopausal women.

Aetiology :

• General disease- hypertension, chronic congestive failure, chronic nephrosis, nutrition vitaminosis, or defective nutrition, severe anaemia, leukemias.
• Worry, sorrow.
• Sexual excesses,  prolong eating of Aspirin.
• Endocrine disorder -  hypothyroidisum or hyperthyroidism.
• Dysfunctional uterine hemorrhage
• Pelvic cause - uterine malformation, double uterus.
• Pelvic endometriosis, chocolate cyst of the ovary, uterine fibroid.
• Pelvic inflammation,
• Adenomyosis, chronic endometritis, carcinoma of   endometrium.
• Hormonal distrubance.

Clinical futures : 

• Menorrhagia is itself a symptoms.

Symptoms :

• General due to blood loss - weakness, palpitation.
• Menorrhagia may be associated with polymenorrhoea and metrorrhagia.
• Pain may or may not be present.

Sign :

• General due to blood loss - Poor health, anaemia, high pulse rate.
• Bimanual examination - uterus is usually felt normal size and consistency.
• Vaginal examination - ovaries may be enlarged investigations Mere Saiya are to be remain friend the investigation is to be conducted.

Investigation :

• Complete blood count.
• Blood routine examination for any infection.
• Hormonal assay.
• Endometrial curettage.
• X-ray for T.B.
• Cytological smear.
•  B.M.R and P.B.I test.
• Coagulation factor studies.
• Human chorionic gonadotropin level.
• Thyroid function test and prolactin level.
• Liver function test.
• Renal function test.
• Iron studies.

Other diagnosis :

• Hysteroscopy.
• Papanicolaou smear.
• Pelvic ultasonography.

Prognosis : 

• The prognosis depend entirely up on our ability to discover and remove the cause.

Management :

• The treatment of menorrhagia is essentially the treatment its causes this is only a symptom.
• Removal of cause.
• Reassurance.
• Operative D and C.
• Improves general health by adequate diet.
• Maintain personal hygiene.

Homoeopathic medicine :

Belladonna :

• Profuse bright red discharge.
• Imparting  a sense of heat.
• Violent pressinhg down sensation everything would come out through genitals.
• Throbbing headache.
• Backache.

Platina :

• Too long and too profuse menstruation.
• Discharge partly fluid and partly in clots.
• Great pressing down in the genitalia.

Sabina :

• Very profuse debilated menses.
• Discharge partly pale red and partly clotted blood.
• Labor like pain drawing down in groin.
• Drawing, tearing pain from back through the pubis.
• Plathoric women with habitual menorrhogia.

Secale core :

• Too profiles and too long continuous menstruation.
• Discharge dark liquid blood increase by motion.
• All her common elements worse just before the menses.

Crocus sativus :

• Regular menses.
• Too profuse and long-lasting.
• Discharge dark, clotted and stringy blood.
• Lest moment increase the flow.

Trillium :

• Menses lasting too long.
• Discharge at first bright red but grows pale.
• Between the period profuse Leucorrhoea of a yellowish colour and creamy consistency.

Ustilago :

• Climacteric period.
• Flooding lasting for week.
• Blood dark coloured with many clots,
• Chronic uterine haemorrhage.
• Vertigo.
• Ovarian irritation.

Biochemic remedy :

Calcarea flour :

• It is the chief remedy to tone up contractile power of the uterus.
• Menorrhagia with excessive bearing down pain.
• Generally associated with displacement of the uterus.

Ferrum phose :

• To be taken between the menstrual period.
• To prevent the blood engorging the womb.
• Discharge of bright red blood.
• Coagulating quickly.

 Calcarea phos :

•  Menorrhagia inter currently in all cases to tone up general symptom.

Other treatment :

• Iron supplement to treat anaemia.
• Rest
• Yoga.