Women know them. Every few weeks it starts to pull and ache in the lower abdominal area . More for some, less for others. But it's not just the intensity of the discomfort before and during menstruation that varies from woman to woman. Blood loss can also vary greatly.
Normal blood loss during menstruation averages 40-50 ml of blood per month. Heavy blood loss means
- A blood loss of 80ml per menstruation.
- This means that you need more than 5 pads or tampons of a normal size per day,
- which must be changed at least every 2 hours.
- Smaller or larger blood clots are often discharged at the same time.
Causes of heavy menstruation
- In most cases, it is due to an imbalance between oestrogen and progesterone. Both hormones are responsible for building up the lining of the uterus . Due to an imbalance, this mucous membrane is constantly built up and eventually expelled during menstruation.
- Myomas: benign mucosal growths in the uterine wall. They can increase and / or prolong menstruation.
To get to the bottom of the cause, it is helpful if you keep a cycle calendar . Make a note of when and how heavy your bleeding was. This information is important information for your gynecologist so that the right treatment can be found.
Possible symptoms
If a lot of blood is lost, this can cause symptoms.
The most common consequence is anemia. Many red blood cells are lost as a result of the blood loss. Signs can be
- Pale skin
- Palpitations
- Cold hands and feet
- Dizziness, headaches
- Tiredness, loss of performance, listlessness
Restrictions in everyday life
Having to change your sanitary products frequently means that you should / want to be near a toilet every 1-2 hours. This can of course be a restriction in everyday life, during excursions, sporting activities or at an external workplace. Getting up more often during the night - to change tampons or pads - disturbs sleep and promotes tiredness during the day.
The fear that if you wait too long, your clothes may show traces of blood can also be a constant, restrictive companion.
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