MENORRHAGIA TREATMENT & SURGERY  | HEAVY PERIODS | मीनोरेजिया भारी मासिक चक्र का इलाज कैसे करे ?
Channel: PHARMAROCKS THE WAY OF SUCCESS
Date: 19/11/2020

MENORRHAGIA CONDITION OF HEAVY PERIODS

मीनोरेजिया भारी मासिक चक्र का इलाज कैसे करे ?

MENORRHAGIA मीनोरेजिया
👨🏼‍🏫  MENORRHAGIA (मीनोरेजिया भारी मासिक चक्र)
It is the most common type of abnormal uterine bleeding characterized by heavy and prolonged menstrual bleeding.
Heavy prolong periods 
In some cases, bleeding may be so severe and daily activities become interrupted

PART-1 INTRODUCTION, CAUSES AND RISK FACTORS
https://youtu.be/6YxTUhBl5Qo

PART-2 DIAGNOSIS OF MENORRHAGIA
https://youtu.be/4lFc2A0JHwE

PART-3 TREATMENT AND MANEGEMENT OF MENORRHAGIA
https://youtu.be/31_aNvZJjtk

NORMAL PERIOD CYCLE
The first day of a woman's period is day 1 of the menstrual cycle. 
"Periods last around 2 to 7 days, and women lose about 3 to 4 tablespoons of blood in a period
25 to 50 ml blood lose

MENORRHAGIA मीनोरेजिया 
Blood of greater than 80 ml or lasting longer than 7 days constitutes menorrhagia.

COMPLICATIONS & SYMPTOMS OF MENORRHAGIA

CAUSES AND RISK FACTORS

DIAGNOSTIC EVALUATION
History collection
Physical examination
Blood tests
Pap test
Endometrial biopsy
Ultrasound scan
Sonohysterogram
Hysteroscopy

MANAGEMENT & TREATMENT
Iron supplements,
Nonsteroidal anti-inflammatory drugs (NSAIDs),
Tranexamic acid,
Oral contraceptives,
Oral progesterone,
The hormonal IUD (Mirena),
Uterine artery embolization,
Dilation and curettage (D&C),
Focused ultrasound ablation,
Myomectomy,
Endometrial ablation,
Endometrial resection,
Hysterectomy,

IRON SUPPLEMENTS
If you also have anemia, your doctor may recommend that you take iron supplements regularly. 
If your iron levels are low but you're not yet anemic, you may be started on iron supplements rather than waiting until you become anemic.

NSAIDs
NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve), help reduce menstrual blood loss. 
NSAIDs have the added benefit of relieving painful menstrual cramps (dysmenorrhea).

Tranexamic acid
This medication is used to treat heavy bleeding during menstrual period. 
Tranexamic acid works by slowing the breakdown of blood clots, which helps to prevent prolonged bleeding. 
It belongs to a class of drugs known as antifibrinolytics, Not a hormone.
Only needs to be taken at the time of the bleeding 

Oral contraceptives
Aside from providing birth control, oral contraceptives can help regulate menstrual cycles and reduce episodes of excessive or prolonged menstrual bleeding.
Most oral contraceptives contain a combination of 2 types of hormones: an estrogen and a progestin. 
Both of these hormones are naturally found in women's bodies.

The hormonal IUD (Mirena)
Mirena is a hormonal intrauterine device (IUD) that can provide long-term birth control (contraception). 
The device is a T-shaped plastic frame that's inserted into the uterus, where it releases a type of the hormone progestin

Dilation and curettage (D&C)
In this procedure, your doctor opens (dilates) cervix and then scrapes or suctions tissue from the lining of uterus to reduce menstrual bleeding. 
Although this procedure is common and often treats acute or active bleeding successfully, you may need additional D&C procedures if menorrhagia recurs

Uterine artery embolization
For women whose menorrhagia is caused by fibroids, the goal of this procedure is to shrink any fibroids in the uterus by blocking the uterine arteries and cutting off their blood supply.

Myomectomy
This procedure involves surgical removal of uterine fibroids. 
Depending on the size, number and location of the fibroids, surgeon may choose to perform the myomectomy using open abdominal surgery, through several small incisions (laparoscopically), or through the vagina and cervix (hysteroscopically).

Endometrial ablation
Using a variety of techniques, doctor permanently destroys the lining of your uterus (endometrium). 
After endometrial ablation, most women have much lighter periods.

Endometrial resection
This surgical procedure uses an electrosurgical wire loop to remove the lining of the uterus. 
Both endometrial ablation and endometrial resection benefit women who have very heavy menstrual bleeding. 
Pregnancy isn't recommended after this procedure.

Hysterectomy
Hysterectomy — surgery to remove your uterus and cervix — is a permanent procedure that causes sterility and ends menstrual periods. 
Hysterectomy is performed under anesthesia and requires hospitalization. 
Additional removal of the ovaries (bilateral oophorectomy) may cause premature menopause.

👨🏼‍🏫 THIS EXPERT LECTURE BY 👨🏼‍🏫
MR AMAR M RAVAL 
ASSISTANT PROFESSOR
FOUNDER PHARMAROCKS
PHD SCOLAR (GTU AHMEDABAD)
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