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The pregnancy complication of Menorrhagia is an abnormally prolonged and heavy menstrual period taking place at regular intervals. The causes of Menorrhagia may be abnormal blood clotting, disorders of the endometrial uterine lining, or disruption of normal hormonal regulation menstrual period. Depending on the cause, Menorrhagia can be associated with abnormally painful menstruation or dysmenorrhea.
In normal cases, menstrual cycle occurs in 21-35 days in duration, along with vaginal bleeding that last for an average of 5 days and the total amount of blood flow is between 25 and 80 ml. Those women experiencing a menstrual blood loss of more than 80 ml or lasting for over 7 days, is a patient of Menorrhagia.
Menorrhagia can also take place at normal and predictable intervals (of around 28 days), thus distinguishing the condition from menometrorrhagia, which happens at more frequent and irregular intervals. The patient or the doctor can possibly estimate Menorrhagia by the number of pads or tampons a woman make use of during her period. A fully soaked regular tampon has the ability to hold about 5 ml of blood during periods.
Complications in Menorrhagia
Besides social distress of coping a heavy and prolonged period, but over time this excessive blood loss can prove to be greater the iron reserves in the body or the blood replenishment rate, thus leading to anemia. The symptoms of Menorrhagia leading to anemia can include weakness, tiredness, numbness and tingling in toes and fingers, depression, headaches, poor concentration, and becoming cold very easily and quickly.
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Pregnancy Complications in Menorrhagia
Though this complication can arise to any women at any time in her menstrual cycle, but the complications caused by Menorrhagia in case of pregnancy can be very serious. It can lead to ectopic pregnancy, incomplete abortion, threatened abortion, or even to miscarriage.
Risk Factors of Menorrhagia
The various risk factors involved in Menorrhagia include: obesity, estrogen administration without progesterone, anovulation, and prior treatment with the usage of oral contraceptives or progestational agents.
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Etiology of Menorrhagia
Generally, no causative abnormality can be established and the treatment offered is directed by seeing its symptoms, rather than following any specific medical mechanism. The causes of Menorrhagia can be: disorders of menstrual blood coagulation, excessive build up of fibroids in the endometrial lining, and consideration by judging the nature of the menstrual cycle. The investigation of Menorrhagia can be done by pelvic and rectal examination, pelvic ultrasound scan, hysteroscopy, pap smear, and endometrial biopsy.
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