Heavy menstrual bleeding: what helps with hypermenorrhea?

Every woman’s monthly menstrual period is different – some women lose just a little fluid, others lose more. When menstruation is extremely abundant, it is called hypermenorrhea. STYLEBOOK asked the gynecologist for possible causes, risks and methods of treatment.

Some women have to change their tampon, tampon, or menstrual cup so often that they can hardly keep up. Extremely intense menstrual bleeding can be uncomfortable for those affected, but sometimes there is more: “If it is above 80 milliliters, women suffer from what is known as hypermenorrhea,” explains Prof. Dr. Mandy Mangler . “Of course, it is difficult for women to measure the amount accurately, even though it is possible with menstrual cups.”

Benign tumors can be the cause

“Hypermenorrhea is rare in girls,” says Prof. Dr. mazza. “It usually only develops over the course of a lifetime for various reasons.” There is often something organic behind it, such as fibroids – benign tumors in the uterus. “It is therefore important to be seen regularly,” warns the gynecologist. “Fibroids are a common cause of hypermenorrhea and should be removed if this occurs.”

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Obesity can cause heavy menstrual bleeding

Hypermenorrhea often affects overweight women. Prof. Dr. Mandy Mangler explains why: “This is because female hormones are also formed in adipose tissue. They ensure that more uterine lining forms and, as a result, more bleeding occurs. ” It can therefore help you lose weight, because the strength of the menstrual period often decreases with the kilograms lost. “If the mucosa has changed pathologically, however, it should be removed,” adds the gynecologist.

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In extreme cases, the uterus is removed

Before the onset of menopause, menstruation may be irregular and / or menstrual bleeding is very intense. “It can be so severe that it may be necessary to remove the uterus,” explains medical professor Dr. Mandy Mangler. Although menstrual fluid is made up not only of blood but also of sparse mucous membrane, hypermenorrhea can still lead to iron deficiency due to increased blood loss. “The typical first symptoms are listlessness and listlessness”, explains the gynecologist. “However, iron deficiency can also trigger depression or aggravate depressive moods and should be treated with tablets or an infusion in consultation with a doctor.”

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– with the expert advice of Prof. Dr. Mandy Mangler, head of gynecology at the Vivantes Auguste-Viktoria-Klinikum in Berlin

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