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Menorrhagia - Excessive Menstrual Bleeding Treatment

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The treatment that you receive depends on many factors, including the extent and cause of your condition.  Your doctor may recommend iron supplements and non-steroidal anti-inflammatory drugs (NSAIDs).  NSAIDs, such as ibuprofen, aspirin, or naproxen act as prostaglandin inhibitors and can relieve symptoms.  Birth control pills or the hormone progesterone may be used to reduce menorrhagia.
 
Surgery may be needed if drug therapy fails or if there is an underlying condition that needs to be treated.  There are several surgical options.  The type of intervention that you receive may depend on the type of underlying condition that you have.  It is important that you understand the long-term consequences of the procedures before you make a decision.  Your doctor can provide you with a thorough explanation of all of your options to help you decide what is best for you.  Common surgical procedures for menorrhagia include dilation and cutterage (D&C), operative hysteroscopy, endometrial ablation, endometrial resection, and hysterectomy.
 
A D&C is a common procedure used to reduce menstrual bleeding.  A surgeon can use a suction or scrape method to remove the lining of the uterus.  The procedure may need to be repeated over time.  An ultrasound may used to guide the surgeon to the exact area in question.
 
An operative hysteroscopy is used to view your uterine cavity and remove a polyp that may contribute to heavy bleeding.  An operative hysteroscopy involves inserting a hystoscope into the uterus, through the vagina and dilated cervix.  The hystoscope transmits images to a video system to guide your doctor during the procedure. 
 
Endometrial ablation uses high energy to permanently destroy the lining of the uterus.  Endometrial resection uses an electrosurgical wire loop to remove the uterine lining.  These two options should be used by women who are certain that they do not want to have children.  Both endometrial ablation and endometrial resection can cause serious complications to the mother and fetus if pregnancy should occur.
 
A hysterectomy is a surgical procedure that removes the uterus and usually the cervix.  A hysterectomy is permanent and non-reversible.  After a hysterectomy, a woman will not have periods and will not be able to become pregnant.

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