It is difficult to define exactly what a heavy period is because the amount of blood lost during a period can vary considerably between women. The average amount of blood lost during a period is 30-40 millilitres (ml), with 9 out of 10 women losing less than 80ml. Heavy menstrual bleeding is considered to be 60-80ml or more in each cycle. However, it is rarely necessary to measure blood loss.
Any woman of reproductive age who is menstruating may develop menorrhagia. Most patients with menorrhagia are older than 30 years. This is because the most common cause of heavy menses in the younger population is anovulatory cycles, in which bleeding does not occur at regular intervals.
Agents used like Nonsteroidal anti-inflammatory drugs (NSAIDs) are the first-line medical therapy for ovulatory menorrhagia Oral contraceptive pills (OCPs) which is a popular first-line therapy for women who desire contraception; dienogest−estradiol valerate has been approved by the US Food and Drug Administration (FDA) for heavy menstrual bleeding Progestin, the most frequently prescribed medicine for menorrhagia.
Major research on disease:
Recurrent cerebral infarction synchronous with menorrhagia caused by endometrial stromal sarcoma.Medical therapy should be tailored to characteristics of the patient (eg, age, coexisting medical diseases, family history, and desire for fertility).Most women have a good idea about how much bleeding is normal for them during their period and can tell when this amount increases or decreases.