Heavy Menstrual Bleeding Explained
What is Heavy Menstrual Bleeding (HMB)?
Heavy menstrual bleeding is a condition characterized by excessively heavy or prolonged menstrual flow. Women with HMB may experience soaking through pads or tampons every hour, periods lasting longer than seven days, or symptoms of anemia such as fatigue and shortness of breath.
How Fibroids Contribute to HMB:
- Larger Fibroids: These can press against the uterine wall, increasing the surface area for blood flow.
- Submucosal Fibroids: These grow within the uterine cavity, disrupting the normal lining and leading to excessive bleeding.
Coping
Coping Strategies
Maintain a Menstrual Diary
Tracking your menstrual patterns can help your healthcare provider understand the severity of your condition.
Iron Supplements
These can help prevent anemia caused by heavy bleeding.
Consult with a Healthcare Provider
Personalized treatment options such as medications or surgery can be discussed.
Pregnancy
Uterine Fibroids and Pregnancy
Before Pregnancy:
- Diagnosis: Ensure proper diagnosis and discuss surgical removal (myomectomy) if fibroids are large or obstructive.
- Health Optimization: Focus on a healthy lifestyle to support pregnancy.
During Pregnancy:
- Regular Monitoring: Frequent ultrasounds to track fibroid size and position.
- Pain Management: Safe medications can help manage fibroid-related pain.
- Delivery Planning: Discuss with your doctor whether a cesarean section is necessary.
Postpartum Considerations:
- Monitoring: Fibroids often shrink after delivery but require continued observation for any complications.
