Managing Heavy Menstrual Bleeding in Teens Adolescents who experience heavy or prolonged menstrual bleeding should talk to their doctor about medical therapies that may reduce the need for invasive treatment. Profuse menstrual bleeding, or menorrhagia, can stem from numerous causes ranging from stress, injury, or disease of the vaginal opening, to a fluctuation in hormone levels. While the menstrual cycle varies for every woman, bleeding, pain, or discharge between periods is worrisome. In the acute stage, menorrhagia is even more problematic.
Patients usually have spotting or abnormal menstruation from a few days to a few weeks.
They are fatigued, have palpitations, nausea, and some are actually fainting. So it's very dramatic when you see that. You have to treat it aggressively at the beginning. Fleming is a fellow in the division of pediatric and adolescent gynecology at Sainte-Justine Hospital in Montreal. Traditionally, doctors have admitted these women into hospital, stabilized their vital signs, and given them intravenous fluids to restore and maintain hydration.