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Monday, 18 November 2013

Menstrual Disorders -Menorrhagia - The Diagnosis

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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