Menorrhagia

Menorrhagia: Complications

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

Menorrhagia: 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 … Menorrhagia: Examination

Menorrhagia: 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 … Menorrhagia: Test and Diagnosis

Menorrhagia: Drug Therapy

Therapeutic target The primary goal is to clarify the prolonged and increased bleeding, and to treat the underlying condition. Normalization of the duration and strength of menstrual bleeding. Therapy recommendations During sexual maturity, if necessary, by administration of hormones (ovulation inhibitors: birth control pills), change in hormone therapy, removal of intrauterine device (“IUD”) if necessary, … Menorrhagia: Drug Therapy

Menorrhagia: 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 … Menorrhagia: Diagnostic Tests

Menorrhagia: Micronutrient Therapy

A symptom of deficiency 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 … Menorrhagia: Micronutrient Therapy

Menorrhagia: Surgical Therapy

1st order Abrasio – scraping of the mucosa of the uterus for histologic examination. Surgical removal of fibroids (benign tumors) or polyps (mucosal outpouchings of the endometrium). Gold net method (endometrial ablation) – gentle and low-complication removal of the endometrium for the treatment of excessive menstrual bleeding(s) with completed family planning; treatment success (symptom relief … Menorrhagia: Surgical Therapy

Menorrhagia: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate menorrhagia: Leading symptom Menorrhagia – bleeding is prolonged (> 6 days) and increased. Warning signs (red flags) Menorrhagia → think of: Endometrial cancer/uterine cancer (endometrial cancer occurs premenopausally (about ten to fifteen years before menopause) in about 20% of women and about five percent of women are under … Menorrhagia: Symptoms, Complaints, Signs

Menorrhagia: Medical History

Medical history (history of illness) represents an important component in the diagnosis of menorrhagia. Family history Is there a history of frequent genitourinary tract disorders in your family? Social history Current medical history/systemic history (somatic and psychological complaints). When was your last menstrual period? How long have the menstrual changes existed? What is the cycle … Menorrhagia: Medical History

Menorrhagia: Or something else? Differential Diagnosis

Blood, hematopoietic organs-immune system (D50-D90). Coagulation disorders Endocrine, nutritional and metabolic disorders (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). Cirrhosis of the liver (liver shrinkage). Neoplasms – tumor diseases (C00-D48) Endometrial carcinoma (cancer of … Menorrhagia: Or something else? Differential Diagnosis

Menorrhagia: Therapy

General measures Review of permanent medication due topossible effect on existing disease. Regular check-ups Regular medical checkups Nutritional medicine Nutritional counseling based on nutritional analysis Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things: Daily total of 5 servings of fresh vegetables and fruits (≥ … Menorrhagia: Therapy