Which Medication Is Used To Stop The Flow Of Blood Uterine Fibroids and Metromenorrhagia

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Uterine Fibroids and Metromenorrhagia

CAUSES AND SYMPTOMS OF METROMENORHAGHIA

Metromenorrhagia can be caused by many disorders: anatomical abnormalities of the uterus, hormonal imbalances, certain medical conditions, medications, and malignancies. Common anatomical causes are uterine fibroids and adenomyosis. Irregular menstrual cycles resulting from hormonal imbalance can be associated with metromenorrhagia. Medical conditions such as blood clotting disorders and liver or thyroid disease contribute to metromenorrhagia. Medicines that prevent blood clotting, such as coumadin or heparin, can lead to increased menstrual flow. Cancer of the uterus and other cancers of the reproductive tract can result in unusually heavy periods. Symptoms of metromenorrhagia are heavy uterine bleeding (more than 80 milliliters) and/or bleeding that lasts longer than seven days. Unlike metrorrhagia, bleeding occurs at regular intervals. The patient may become anemic and show symptoms of acute or chronic blood loss. Symptoms and signs suggestive of a cause of metromenorrhagia may be present, such as large palpable fibroids or evidence of hypothyroidism or liver disease.

TREATMENT AND THERAPY

Metromenorrhagia can be treated with conventional medical or surgical methods. The choice of treatment often depends on the cause and severity of metromenorrhagia. If metromenorrhagia is the result of medically treatable conditions (such as a thyroid disorder), then controlling those conditions can reduce bleeding. If the patient has irregular cycles (for example, due to lack of ovulation), then hormones such as oral contraceptive pills or medroxyprogesterone can be used to regulate the cycle and reduce menstrual flow. A patient who is approaching menopause can receive hormone injections that introduce her to an earlier artificial menopause, thus completely eliminating menstrual bleeding. If the patient has acute and profuse bleeding, high doses of estrogen can be given.

If metromenorrhagia is resistant to medical treatment, surgical treatment may be necessary. Examples of procedural treatments for metromenorrhagia are dilation and curettage (D & C), for acute, profuse bleeding; thermal ablation of the endometrial mucosa; hysteroscopic resection of endometrial polyps or fibroids; and insertion of a progesterone-impregnated intrauterine device (IUD). Hysterectomy is the definitive surgery for metromenorrhagia, regardless of the cause, because menstrual bleeding cannot occur without the uterus. Patients with large fibroids or adenomyosis often do not respond to medical treatment. These patients would be candidates for hysterectomy. In patients with large fibroids and metromenorrhagia who want to maintain the ability to give birth, a myomectomy can be performed instead of a hysterectomy. Finally, patients may become severely anemic due to metromenorrhagia, and blood transfusions may be required. Mild anemia can be treated with iron supplementation.

These treatments have had limited success, and most metromenorrhagia sufferers find the side effects of these methods to be as bad or worse than the condition itself. Alternative and holistic medicine researchers have had great success with natural remedies.

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