Menorrhagia
Ghosh, A.K.
Journal of the Indian Medical Association 96(6): 183-185
1998
ISSN/ISBN: 0019-5847 PMID: 9834569 Document Number: 17986
Menorrhagia referring to cyclic excessive bleeding is quite a common condition, however, its aetiopathogenesis and specially the modalities of treatment present a complex situation. The average menstrual loss is between 35 to 45 ml and generally a loss of more than 80 ml is considered as menorrhagia. In recent time the use of different steroidal agents for contraception and sterilisation procedures may have contributed to the increased prevalence of menorrhagia specially in the developed countries. Then again the precisely regular cyclic excessive bleeding may not be common and as such the abnormal excessive bleeding may be an appropriate connotation for all practical purpose. In the developing countries with poverty and malnutrition causing iron deficiency states in the majority, the high parity, pre-existent anaemia and concurrent menorrhagia compound the problem. However, the cause and effect relationship between menorrhagia and anaemia is obscure. The cytochrome oxidase deficiency in iron deficiency anaemia may contribute to menorrhagia. Basically the myometrial contraction, vaso-active endometrial agents and blood coagulation (physiological) control bleeding. In view of the high prevalence of anaemia and menorrhagia and its serious consequence in the developing world of ours, a practical approach of the management protocol is envisaged.
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