Menorrhagia

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Menorrhagia is an abnormality of the menstrual cycle in the reproductive female in which there is excessive uterine bleeding occurring at the regular intervals of menstruation (1).

It can be underlied by coagulopathies, medications, fibroids, endometrial hyperplasia, malignancy, endometrial polyps, anovulation, dysfunctional uterine bleeding, and adenomyosis.

Supportive therapy includes iron replacement, while medical management involves antiprostaglandin agents, oral contraceptive pills, progestins, and antifibrinolytics. Surgical therapy includes endometrial ablation or hysterectomy.