Hypermenorrhea

Hypermenorrhea: Drug Therapy

Therapeutic target Improvement of symptoms by drug control of bleeding disorders (hypermenorrhea, menometrorrhagia) or preoperative reduction of fibroids (benign growths in the muscular layer of the uterus). Therapy recommendations Estrogen-progestin monophasic preparations, progestin preparations, intrauterine device (“IUD”) with progestin (levonorgestrel) for drug control of bleeding disorders. Ulipristal (ulipristal acetate* ; progesterone receptor modulator) for preoperative … Hypermenorrhea: Drug Therapy

Hypermenorrhea: Diagnostic Tests

Obligatory medical device diagnostics. Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina) – to assess the genital organs, including endometrial thickness (thickness of the lining of the uterus) Abdominal ultrasonography (ultrasound examination of the abdominal organs) – mainly to assess the kidneys, adrenal glands and ovaries (ovaries). Optional medical device diagnostics … Hypermenorrhea: Diagnostic Tests

Hypermenorrhea: Micronutrient Therapy

A deficiency symptom may indicate that there is an insufficient supply of vital substances (micronutrients). The complaint bleeding indicates a deficiency of vital substances (micronutrients) for Vitamin C A risk group indicates the possibility that the disease may be associated with the risk of vital substance deficiency (micronutrients). The complaint bleeding indicates a deficiency of … Hypermenorrhea: Micronutrient Therapy

Hypermenorrhea: Surgical Therapy

1st order Abrasio (histology) – scraping of the mucosa of the uterus so that it can then be examined histologically (fine tissue). Surgical removal of fibroids (benign uterine growths) or polyps. Endometrial ablation – gentle and low-complication removal of the endometrium for the treatment of excessive menstrual bleeding(s) when family planning has been completed. First … Hypermenorrhea: Surgical Therapy

Hypermenorrhea: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate hypermenorrhea: Leading symptom Hypermenorrhea – bleeding is excessive; usually the affected person consumes more than five pads/tampons per day; typically, there is discharge of coagulum (blood clots) with the menstrual blood Warning signs (red flags) Menorrhagia – prolonged (> 6 days and increased menstruation or metrorrhagia (bleeding outside … Hypermenorrhea: Symptoms, Complaints, Signs

Hypermenorrhea: Causes

Pathogenesis (development of disease) Hypermenorrhea is said to occur when the patient needs more than 5 tampons/pads per day. Hypermenorrhea is one of the type abnormalities in the menstrual cycle. It is often caused by endometriosis (presence of endometrium (lining of the uterus) outside its physiological location) or fibroids (benign growths of the uterine muscles), … Hypermenorrhea: Causes

Hypermenorrhea: Therapy

General measures Review of permanent medication due topossible effect on existing disease. Conventional non-surgical therapy methods If the cause of hypermenorrhea (excessive menstrual bleeding) is uterus myomatosus (benign neoplasm of the woman originating from the muscles (myoma) of the uterus (womb)), the following therapy has become very important in recent years: Focused ultrasound (MR-HIFU) of … Hypermenorrhea: Therapy

Hypermenorrhea: Complications

The following are the most important diseases or complications that may be contributed to by hypermenorrhea: Blood, blood-forming organs – Immune system (D50-D90). Iron deficiency anemia (anemia due to iron deficiency).

Hypermenorrhea: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vagina) Cervix uteri (cervix), or portio (cervix; transition … Hypermenorrhea: Examination

Hypermenorrhea: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Small blood count (hemoglobin (Hb), hematocrit (Hct)). Ferritin – if iron deficiency anemia is suspected. HCG determination (human chorionic gonadotropin) – to exclude pregnancy. 17-beta estradiol Progesterone FSH (follicle-stimulating hormone) TSH (thyroid-stimulating hormone) – if thyroid dysfunction is suspected. Laboratory parameters 2nd order – depending on the … Hypermenorrhea: Test and Diagnosis

Hypermenorrhea: Medical History

Medical history (history of illness) represents an important component in the diagnosis of hypermenorrhea. Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). When was your last menstrual period? How long has the change in menstruation existed? What … Hypermenorrhea: Medical History

Hypermenorrhea: Or something else? Differential Diagnosis

Blood, hematopoietic organs-immune system (D50-D90). Coagulation disorders (e.g., von Willebrand factor deficiency). Endocrine, nutritional, and metabolic diseases (E00-E90). Hypothyroidism (underactive thyroid gland). Premenstrual progestin deficit – deficiency of luteal hormone before the onset of menstruation. Liver, gallbladder, and bile ducts – Pancreas (pancreas) (K70-K77; K80-K87). Liver cirrhosis – irreversible damage to the liver leading to … Hypermenorrhea: Or something else? Differential Diagnosis