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 45 years of age).
- Dysmenorrhea (painful menstruation) + dyspareunia (pain during sexual intercourse) → think of: Endometriosis (occurrence of endometrium (lining of the uterus) outside the uterus, for example, in or on the ovaries (ovaries), tubes (fallopian tubes), urinary bladder, or intestines); adnexitis (ovarian inflammation), chronic
- Bleeding postcoital (after intercourse) → think of: Polyp (mucosal proliferation) of the cervix; ectopy (easily injured cylindrical epithelium on the cervical surface); cervical carcinoma (cervical cancer) [gynecological workup required!].
