General Practice 2022

Heavy menstrual flow: causes and how to reduce it

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Heavy menstrual flow: causes and how to reduce it
Heavy menstrual flow: causes and how to reduce it

Heavy menstrual flow is characterized by the greater amount of blood lost during the menstrual period, which causes menstrual pads or cups to be changed/emptied every hour. In addition, while the normal menstrual period takes place between 3 and 5 days, heavy flow continues for more than 7 days and is usually accompanied by some symptoms such as severe cramping and excessive tiredness.

So, if the woman notices that she changes the tampon every hour, that the menstrual cup fills up very quickly, when there are symptoms and when some activities are not performed during the menstrual period due to fear of leakage, It is important to consult the gynecologist so that tests are carried out that can identify the cause of the increase in flow and, thus, initiate the most appropriate treatment, also preventing the development of anemia.

Main causes

The main causes that can cause an increase in menstrual flow are:

1. Hormonal changes

Changes in estrogen and progesterone levels, which are the main female hormones, are the main causes related to increased menstrual flow. Thus, when there is an imbalance in hormone levels, it is possible to see changes in the flow. Normally, high levels of estrogen and low levels of progesterone are responsible for heavier menstrual flows.

2. Use of copper IUD

The copper IUD, also known as a non-hormonal IUD, is an effective contraceptive method that is inserted into the uterus and prevents possible pregnancy. However, despite being considered an advantageous method and with few side effects, since it does not release hormones, it is common to have increased menstrual flow and intense cramps during menstruation.Here are the main advantages and disadvantages of the copper IUD.

3. Gynecological changes

Some gynecological changes such as fibroids, fibroids and polyps in the uterus, pelvic inflammatory disease, changes in the cervix and endometriosis, for example, can increase menstrual flow. It is important that these changes are identified as soon as the first signs and symptoms appear, so that complications can be prevented.

4. Use of anticoagulant medications

Frequent use of anticoagulant drugs can favor increased menstrual flow, since the factors responsible for stopping excessive bleeding are not activated. Learn more about anticoagulants.

How to decrease menstrual flow

To reduce heavy menstrual flow, it is important to follow the gynecologist's guidelines, who may indicate the use of medications that help relieve symptoms.In addition, the use of iron supplements may be recommended by the doctor, as it is common for anemia to occur as a result of heavy flow. Learn more about iron supplementation.

It is also important to carry out specific treatment for the cause of heavy flow, and in some cases, surgical procedures may be recommended by the doctor, especially when the intense flow is due to the presence of polyps, myoma, cysts or fibromas, and hormone replacement, IUD removal and/or contraceptives may also be indicated.

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