Women's Health · 7 min read
Published · Updated
Editorial note: This article was prepared for this website from the sources listed below. Unless a named clinical reviewer is shown, it has not been attributed to or clinically reviewed by an individual KPMC clinician.
Impact matters
Heavy menstrual bleeding is bleeding that interferes with physical, social or emotional quality of life. Passing clots, changing protection very frequently, bleeding through clothes or bedding, or fatigue may be relevant. The pattern and impact are more useful than trying to estimate an exact volume.
Assessment looks for causes and anaemia
Keep a record of timing, duration, flooding, pain, bleeding between periods or after sex, and kehamilan possibility. Tell the clinician about contraception, medicines, family bleeding problems and other symptoms. Depending on the history, assessment may include examination, blood tests or imaging.
Rawatan depends on the cause, desire for kehamilan, other conditions and preference. Do not self-treat persistent bleeding with hormones or iron without suitable advice and follow-up.
Do not normalise severe symptoms
Breathlessness, marked weakness, dizziness or fainting may indicate significant blood loss or anaemia. New bleeding after menopause and bleeding during possible kehamilan require prompt assessment.
At a glance
Key takeaways
- Track the bleeding pattern and its effect on daily life.
- Ask whether testing for anaemia or an underlying cause is appropriate.
- Rawatan should reflect the cause, health history and fertility preferences.
When to seek care
- Seek urgent care for very heavy ongoing bleeding with fainting, severe dizziness, chest pain, breathlessness or possible kehamilan.
- Arrange prompt review for bleeding after menopause, between periods or after sex.
General information only. This article does not replace medical advice, diagnosis or treatment. If symptoms are severe or rapidly worsening, seek urgent medical care. In Malaysia, call 999 for an emergency or go to the nearest emergency department.
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