Menorrhagia is defined as a condition of excessive
bleeding in the menstruation phase of the menstrual cycle in the
reproductive age of a woman leading to heavy blood loss that can
interfere with the woman normal activities, as a result of disruption of
normal hormonal regulation of periods or disorders of certain
reproductive organs.
Diagnosis
A. Primary menorrhagia
Girl with menorrhagia in the first 2 years of the menstruation may be tested
1. Red blood cell and fatty acid analysis
It is a blood test for cholesterol, triglyceride, HDL, and LDL.
Occasionally, a lipoprotein electrophoresis or lipoprotein-a (Lp-a). The
high levels of the test result may increase the risk of arachidonic
acid cause of menorrhagia.
2. Red blood cells count
The aim of the blood test is to rule the case of amenia.
3. Hormone levels testing (FSH)
the aim of the test to check for hormone follicle stimulating hormone that may lead inovulation cause of heavy menstruation.
4. Serum vitamin levels
The test for certain vitamin levels is to rule out the heavy period is caused by vitamin deficiency.
5. Etc.
B. Secondary menorrhagia
1. Blood count
Test for blood count to rule out the amenia cause of menorrhagia.
2. Basal body temperature
In women, the record of basal body temperature is to rule out the
anovulation cause of menorrhagia. Ovulation causes an increase of
one-quarter to one-half degree Celsius in basal body temperature (BBT).
It is one of self exam method commonly used by women to time of most
fertility.
3. Thyroid function
In a study of Menorrhagia and hypothyroidism - Evidence supports
association between hypothyroidism and menorrhagia by Andrew D Weeks,
specialist registrar in obstetrics and gynaecology, researchers found
that All the available evidence supports a causative association between
hypothyroidism and excessive menstrual loss. Some of the study methods
are weak by modern standards, but in the absence of evidence to the
contrary the conclusion must be that hypothyroidism is a correctable
cause of menorrhagia.
4. Ultrasound
Ultra sound to examine the pelvic region is to rule out certain
types of abnormality cause of menorrhagia such as uterine fibrosis,
polyps, ovarian tumors, endometriosis, etc..
5. Blood coagulation test
Abnormal process by which blood forms clots (coagulation) to prevent blood loss during menstruation can lead menorrhagia.
6. Etc.
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