Hypermenorrhea

Hypermenorrhea (synonyms: Hypermenorrhea; Hypermenorrhea; Menstrual bleeding, increased: bleeding abnormality – menstrual bleeding, increased; ICD-10-GM N92.0: Menstruation too heavy or too frequent with regular menstrual cycle: hypermenorrhea) is a type disorder. Bleeding is too heavy, which usually means the patient uses more than five pads per day or a tampon lasts less than two hours! The bleeding abnormalities (bleeding or cycle disorders) are divided into rhythm disorders and type disorders.

Type disorders include:

• Hypermenorrhea – bleeding is too heavy (> 80 ml); usually the affected person consumes more than five pads / tampons per day.
• Hypomenorrhea – bleeding is too weak; the affected person consumes less than two pads per day
• Brachymenorrhea – bleeding duration < 3 days.
• Menorrhagia – bleeding is prolonged (> 7 days and < 14 days) and increased.
• Spotting – interstitial bleeding such as.
  • Premenstrual spotting – spotting before actual menstruation.
  • Postmenstrual spotting – spotting after the actual menstruation.
  • Middle bleeding – spotting at the time of ovulation (ovulation).
• Metrorrhagia – bleeding outside the actual menstruation; it is usually prolonged and increased, a regular cycle is not recognizable
• Menometrorrhagia – prolonged and increased menstrual bleeding (bleeding duration > 14 days) with intermenstrual bleeding (eg, juvenile menometrorrhagia; due tohypogonadism (gonadal hypofunction), hyperprolactinemia (increase in blood prolactin levels); often in menopause)Caution: the term menometrorrhagia is often used synonymously with metrorrhagia in the clinic.

Course and prognosis: different measures (hormonal and non-hormonal drug treatments, endometrial ablation (gentle and low-complication removal of the endometrium)) are available for the treatment of hypermenorrhea. If the intensity of bleeding cannot be reduced as desired, a hysterectomy (removal of the uterus) should be considered, taking family planning into account. Hypermenorrhea, along with menorrhagia (see above), is the main indication for hysterectomy.It should be remembered that menstrual disorders can also be disease-related. Organic causes should be excluded.