What should I do if my menstrual flow is too heavy, like a blood avalanche

Excessive menstrual flow may be caused by uterine fibroids, endometrial polyps, endocrine disorders, coagulation dysfunction, adenomyosis, and other reasons. It can be improved through medication, surgical treatment, hormone regulation, hemostatic measures, lifestyle adjustments, and other methods.

1. Uterine fibroids:

Uterine fibroids are benign tumors formed by the proliferation of smooth muscle tissue in the uterus, which may lead to a significant increase in menstrual flow. Fibroids can enlarge the endometrial area and affect uterine contraction function, leading to an increase in menstrual blood output. Ultrasound examination can provide a clear diagnosis. For smaller fibroids, gonadotropin-releasing hormone analogs can be used for control. For larger fibroids or severe symptoms, myomectomy or hysterectomy should be considered.

2. Endometrial polyps:

Endometrial polyps are growths formed by local overgrowth of the endometrium, often leading to prolonged menstrual periods and increased menstrual flow. Polyps can interfere with the normal shedding process of the endometrium, causing irregular bleeding. Hysteroscopy is the gold standard for diagnosis, and treatment mainly involves hysteroscopic polypectomy. Short term use of progesterone may be necessary to prevent recurrence after surgery.

3. Endocrine disorders:

Dysfunction of the hypothalamic pituitary ovarian axis can lead to sustained estrogen stimulation of the endometrium, causing excessive proliferation. When progesterone is insufficient, incomplete shedding of the endometrium leads to massive bleeding. Basal body temperature measurement and six tests of sex hormones are helpful for diagnosis, and treatment mainly uses short acting contraceptives or progesterone for cycle regulation. 4. Coagulation dysfunction: Thrombocytopenia, hemophilia, and other coagulation disorders can significantly exacerbate menstrual bleeding. These patients often have symptoms such as skin bruising and gum bleeding in addition to heavy menstrual flow. Diagnosis needs to be confirmed through tests such as coagulation tests, platelet count, etc. Treatment includes platelet transfusion, coagulation factor replacement, and the use of anti fibrinolytic drugs such as tranexamic acid.

5. Uterine adenomyosis:

A lesion formed by the invasion of endometrial tissue into the uterine muscle layer, which can lead to the enlargement and hardening of the uterus. In addition to excessive menstrual bleeding, patients often have gradually worsening dysmenorrhea. Magnetic resonance imaging has high diagnostic value. Mild cases can be controlled by levonorgestrel intrauterine sustained-release system, while severe cases require consideration of hysterectomy.

During periods of excessive menstrual flow, it is recommended to stay in bed to avoid severe exercise that can worsen bleeding. Pay attention to supplementing iron rich foods such as animal liver and spinach in diet to prevent iron deficiency anemia. Moderate consumption of brown sugar ginger tea can warm the uterus, but avoid consuming raw, cold, and stimulating foods. Record changes in menstrual cycle and bleeding volume, and conduct regular gynecological examinations to rule out malignant lesions. When severe bleeding occurs and anemia symptoms such as dizziness and fatigue occur, immediate medical attention should be sought. If necessary, hospitalization should be performed for blood transfusion or emergency curettage to stop bleeding.