HomeAnswersObstetrics and Gynecologyheavy bleedingWhat is the actual definition of heavy menstrual bleeding?

What is heavy menstrual bleeding?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sonal Prasad

Medically reviewed by

iCliniq medical review team

Published At September 17, 2016
Reviewed AtOctober 8, 2023

Patient's Query

Hello doctor,

Recently, I was diagnosed to have iron deficiency anemia. My primary doctor thinks this is due to heavy menstrual bleeding. Therefore, he advised me to see the gynecologist. I never thought I had heavy periods. What is the actual definition of heavy menstrual bleeding? My period always last for seven 7 days and the first 2 or 3 days will be heavier with some clots. I have to get up during the night once to change the pad only in the first two nights. I usually use about 25 to 30 pads during my periods. Can this be considered as heavy bleeding? For me, this is normal. I have always been this way. My laboratory report showed hemoglobin 8.5, hematocrit 29.7, MCV 66, MCH 19, MCHC 28.6, RDW 18.9, UIBC 430, serum iron 15 and iron saturation and ferritin 3. In addition, I am not sexually active and I am still a virgin. I have never been to the gynecologist and really do not know what to expect. What kind of examination the doctor will perform? How should I prepare for the visit? Please visit.

Answered by Dr. Sonal Prasad

Hello,

Welcome to icliniq.com.

Yes, your menstruation will be considered as heavy. More than 2.6 fl oz of blood loss, bleeding for more than six days and passage of clots indicates heavy flow. Do not be scared about visiting a gynecologist. Since you are a virgin, you will not undergo internal or per speculum examination. You need to undergo ultrasound pelvis along with blood tests that include serum TSH (thyroid-stimulating hormone) and PRL (prolactin levels). I suggest tablet Tranexamic acid 500 mg three times a day during periods of heavy bleeding and Iron supplements 200 mg daily. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

Investigations to be done

1. Serum TSH and PRL. 2. Ultrasound lower abdomen.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sonal Prasad
Dr. Sonal Prasad

Obstetrics and Gynecology

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