Does menorrhagia go away on its own? When is treatment needed?

The article is professionally consulted by doctors of Obstetrics and Gynecology Department, Vinmec Ha Long International General Hospital.

Menorrhagia is a common problem and brings a lot of trouble and fatigue to women. So is menorrhagia dangerous or not? How long does menorrhagia go away? When is treatment necessary?

Menorrhagia is the phenomenon of having a regular period, but the period lasts longer than usual, usually more than 7 days, the amount of menstrual blood loss exceeds 80 ml.
Menorrhagia makes the body lose a lot of blood, lasting, over time, it will lead to anemia, body weakness, paleness, fatigue. In addition, if not treated promptly, menorrhagia can lead to dangerous complications.

How long it takes to get rid of menorrhagia, whether it needs treatment depends on the cause of this symptom. Menorrhagia may be due to physical or mechanical causes.
2.1. Functional menorrhagia is common in women during early puberty, premenopausal women or women after childbirth. These are the 3 times when the menstrual cycle is unstable, the menstrual cycle is irregularly long and short, easily leading to menorrhagia.
Although functional menstrual bleeding is not life-threatening, a lot of blood loss causes fatigue, greatly affecting the lives and activities of women. Therefore, in addition to adjusting the lifestyle and diet, women should visit and receive the advice of a doctor to best suit their condition.
2.2. Menorrhagia due to physical causes Menorrhagia comes from lesions in the uterus or ovaries, such as polycystic ovaries, ovarian cysts, uterine fibroids, uterine polyps... Physical causes, the patient must be treated, if left for a long time, the disease can cause many dangerous complications.

Depending on your condition, as well as your age, whether you want to have another baby or not, the doctor will prescribe different treatment. Usually, it can be treated with medication or with surgery.
3.1. Drug therapy Drug therapy is usually indicated for patients without structural and histological abnormalities, fibroids with a small diameter of less than 3 cm, without causing distortion of the uterine cavity. Includes the following treatments:
Non-hormonal therapy: This method is usually applied to young patients who are going through puberty, want to maintain fertility, or plan to become pregnant in the future. recently married, or simply do not want to use hormone replacement therapy. Including drugs ○ Medicines with hemostatic effect, oriental medicine (Sample benefits)
○ Anti-inflammatory drugs to prevent superinfection
Hormone therapy: Considered the first choice in case the patient just wants to maintain fertility and want to prevent pregnancy (depending on the cause). ○ Combined oral contraceptive (COC)
○ Orgametril
Second phase Progesteron
3.2. Procedures Uterine curettage to stop bleeding combined with hormonal drugs Polypectomy, hysteroscopy, curettage of fibroids 3.3. Surgical treatment with surgery In case patients with menorrhagia take drugs and procedures but do not go away, the doctor may prescribe surgical treatment. One of the advanced surgical methods used to treat menorrhagia today is laparoscopic total hysterectomy.
This surgery requires performing in large, specialized hospitals and modern machinery systems. Currently, laparoscopic total hysterectomy has been performed at Vinmec Ha Long International General Hospital.

4.1. Indicated subjects Patients with uterine fibroids; uterine fibroids are large, causing hypermenorrhea, menstrual cramps; Uterine fibroids compress other organs, causing infertility. The patient has a tumor located in the broad ligament Endometrial hyperplasia, unsuccessful internal therapy, Menorrhagia, and unsuccessful internal therapy 4.2. Advantages of laparoscopic total hysterectomy for treatment of menorrhagia The entire tumor is dissected, thoroughly solving the source of the disease symptoms Minimizing the impact on the patient Small incisions, ensuring aesthetics Patients have less pain after surgery, quick recovery Short hospital stay Low cost. 4.3. Why should you choose to perform this surgery at Vinmec Hospital? Experienced doctors in obstetrics and gynecology surgery Modern facilities and equipment, achieving high treatment efficiency Professional services: Modern civilized disease prevention system, comprehensive care Hybrid operating room at Vinmec Ha Long is the most modern operating room system in the world today, integrating operating room and advanced imaging equipment. When performing the complete hysterectomy technique here, the patient can experience the most advanced techniques. Total laparoscopic hysterectomy is a difficult technique - requiring a physician with extensive experience and training in this technique. At Vinmec Ha Long Hospital, there are experienced doctors in the field of obstetrics and gynecology such as Doctor II Bach Cam An, Doctor CKI Le Thi Phuong, and Doctor Bui Minh Phuc. In anesthesia resuscitation, Vinmec adheres to anesthetic protocols, anesthesia safety guidelines, anesthesia checklists for 100% of surgeries to minimize incidents and unwanted effects. Menorrhagia is a common phenomenon in many women and in some cases menorrhagia can cause dangerous complications if not treated promptly and properly. Women with menorrhagia should go to reputable hospitals for examination and advice, from which to have the correct intervention direction.