Medication is often enough to successfully treat menorrhagia, but sometimes surgery is necessary.
Medications for Menorrhagia
- Oral contraceptives: In addition to preventing pregnancy, oral contraceptives help regulate menstrual cycles and reduce episodes of excessive or prolonged menstrual bleeding.
- Oral progesterone: The hormone progesterone can help correct hormonal imbalances and reduce bleeding.
- Hormonal Intrauterine Device (IUD): A small device inserted inside the uterus that contains the hormone progestin, which thins the lining of the uterus to reduce bleeding and cramping.
- Iron supplements: Pills that increase iron levels in the blood for women with either anemia or low iron levels that are not quite low enough be anemia.
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDS): Pills that reduce inflammation and can help reduce menstrual blood loss, with an added benefit of relieving painful menstrual cramps.
Surgery for Menorrhagia
If medications are unable to control menorrhagia symptoms, one of these procedures may be recommended:
- Dilation And Curettage (D&C): The doctor opens (dilates) the cervix and then scrapes or suctions tissue from the lining of uterus to reduce menstrual bleeding.
- Operative hysteroscopy: A tube with a tiny light and camera (called a hysteroscope) is inserted through the vagina and cervix into the uterus to aid in the surgical removal of a polyp that may be causing excessive menstrual bleeding.
- Endometrial ablation: This surgical procedure permanently destroys a thin layer of the lining of the uterus (also called the endometrium), which results in little or no menstrual flow. The lining of the uterus is destroyed using either heat energy, freezing technology, or electrical, microwave or radio frequency energy. After this procedure, it is unlikely that a woman will have a successful pregnancy.
- Endometrial resection: A surgical procedure that uses an electrosurgical wire loop to remove the lining of the uterus. After this procedure, it is unlikely that a woman will have a successful pregnancy.
- Hysterectomy: Surgery is performed under anesthesia to remove the uterus and the cervix. After a hysterectomy, a woman will have no more menstrual periods and will not be able to become pregnant.