Heavy menstrual bleeding: what helps with hypermenorrhea?

Every woman’s monthly menstruation is different – some women lose just a little fluid, some more. When your period is extremely heavy, it is called hypermenorrhea. STYLEBOOK asked the gynecologist about possible causes, risks and treatments.

Some women have to change a tampon, pad or menstrual cup so often that they can barely chase. Extremely menstrual bleeding can be uncomfortable for those affected, but sometimes there is more to it: “If it is more than 80 milliliters, women suffer from what is known as hypermenorrhea,” explains prof. Dr. Mandy Mangler. “Of course, it’s difficult for women to accurately measure, even with menstrual cups.”

The cause may be benign tumors

“Hypermenorrhea is rare in young girls,” says prof. Dr. mangle. “It usually develops over a lifetime for a variety of reasons.” There’s often something organic behind it, like fibroids – benign tumors in the womb. “Regular examinations are therefore important,” warns the gynecologist. “Fibroids are a common cause of hypermenorrhea and should be removed if this happens.”

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Obesity can cause heavy menstrual bleeding

Hypermenorrhea often affects overweight women. Prof. Dr. Medical Mandy Mangler explains why: “It’s because female hormones also form in adipose tissue. It will ensure that more lining of the uterus is formed and, as a result, more bleeding will occur. ”It can therefore help you lose weight, because with the weight you lose, the strength of your period often decreases. “But if the mucosa had to change pathologically, it would have to be removed,” the gynecologist added.

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In extreme cases, the uterus is removed

Menstruation may be irregular and / or very heavy menstrual bleeding before menopause begins. “It can be so serious that you may have to remove the uterus,” explains prof. Dr. Medical Mandy Mangler. Although menstrual fluid consists not only of blood but also of cast mucosa, hypermenorrhea can lead to iron deficiency due to increased blood loss. “Typical first symptoms are lethargy and lethargy,” explains the gynecologist. “However, iron deficiency can also cause depression or worsen depressed moods and should be treated with tablets or infusions in consultation with a doctor.”

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– with professional advice of prof. Dr. Mandy Mangler, Chief Gynecologist at the Vivantes Auguste-Viktoria-Klinikum in Berlin

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