Menorrhagia and Fertility

Most people know that menstruation is the final of the four phases of the menstrual cycle when the body sheds the uterine lining if conception hasn’t happened. This shedding and bleeding usually occur around 14 days after ovulation.

The entire menstrual process is regulated by hormones, specifically the follicle-stimulating hormone (FSH), Luteinizing hormone (LH), progesterone and estrogen. Changes in the levels of the latter two hormones can cause disruptions in the menstrual cycle and lead to menstrual disorders, including:

• Menorrhagia (heavy periods)
• Amenorrhea (absence of menstruation)
• Dysmenorrhea (painful periods)
• Oligomenorrhea (infrequent periods)
• Polymenorrhea (frequent periods)

We’ll focus on the menstrual disorder of menorrhagia and explore what it is, what causes it, how it’s treated and its effect on fertility. V Fertility Center is an ICSI clinic in Thailand that provides effective diagnosis and treatment of menstrual disorders that can affect your fertility. We can offer an examination and consultation as the first step in providing relief from your menstrual disorder.

What Is Menorrhagia

Menorrhagia is heavy bleeding during your menstrual period and can cause infertility if not treated effectively. Common symptoms of the condition include:

• Commonly and consistently passing large clots.
• Having to change pads/tampons every two hours or less.
• Having to get up at night to change pads.
• Taking extra precautions at night to prevent staining.
• Taking precautions during the day to avoid accidents.

Diagnosing Menorrhagia

Effective diagnosis for menorrhagia can be crucial to safeguard your fertility. This treatment begins with your doctor asking you a series of questions about your medical history and conducting a physical exam and a pelvic exam.

Several other tests may be required to deliver a definite diagnosis of the reasons for the menorrhagia. A pelvic ultrasound is the most common test to diagnose surgical methods to treat menorrhagia. However, depending on your symptoms, the doctor may also require:

• Blood test (for signs of anemia or thyroid disease)
• Pap smear (for changes that may indicate cancer)
• Cervical culture (tests for infection)
• Endometrial biopsy (checking uterine tissue for cancer cells or other abnormalities)
• Sonohysterogram (checking for problems with your endometrium)
• Hysteroscopy (checking for fibroids, polyps and or abnormal tissue)

Finding out the root cause of menorrhagia is crucial to recommending the most effective treatment and maximizing the fertility outcome.

A fertility specialist is the best person to diagnose a case of menorrhagia and recommend an effective treatment.

Menorrhagia Treatments

Your doctor will recommend a range of medications and treatments before surgery. The medications can also treat underlying issues that can cause menorrhagia. These treatments can include:

• Iron supplements to boost your iron levels.
• NSAIDs like aspirin and ibuprofen can help reduce bleeding and ease your cramps.
• Birth control methods can help stabilize your periods and lighten the blood flow.
• Hormone replacement therapy (HRT) can balance your hormone levels and reduce blood flow.
• Gonadotropin-releasing hormone (GnRH) agonists and antagonists are medications that can stop or reduce bleeding temporarily.
• Antifibrinolytic medications can prevent clots from breaking up and causing bleeding.

Surgical intervention is avoided, if possible, although for uterine fibroids, a myomectomy (a procedure that removes the uterine fibroids without removing the uterus) can preserve fertility in the patient. It’s used when the fibroids cause heavy bleeding and moderate to severe pain.

Visit V Fertility Center in Bangkok

Making an appointment for a fertility clinic consultation at V Fertility Center in Bangkok will give you a chance to meet our trained and experienced team of fertility specialists.

We offer a comprehensive range of fertility treatments, lifestyle advice and modifications to improve your fertility and boost your chances of conceiving. Our treatments include:

• In vitro fertilization (IVF)
• Intracytoplasmic sperm injection (ICSI)
• Infertility screening
• Preimplantation genetic testing (PGT)
• Intrauterine insemination (IUI)
• Egg, embryo and sperm freezing
• Surgical sperm retrieval (SSR)

We also diagnose and treat menstrual disorders, like menorrhagia, and provide special care in maintaining your fertility.

Our compassionate team of specialists will provide you with tailored treatment plans to offer the best chances of conceiving. Make an appointment today to diagnose and treat menstrual disorders for better fertility at V Fertility Center.

Citations:

1. Menorrhagia (Heavy Menstrual Bleeding) – 11/25/24 – https://my.clevelandclinic.org/health/diseases/17734-menorrhagia-heavy-menstrual-bleeding
2. Do you have heavy or prolonged periods? Menstrual disorders explained – 11/25/24 -https://www.ivf.com.au/blog/do-you-have-heavy-or-prolonged-periods-menstrual-disorders-explained
3. Menorrhagia Treatment & Management – 11/25/24 – https://emedicine.medscape.com/article/255540-treatment#d9