Metrorrhagia

Metrorrhagia is uterine bleeding at irregular intervals, especially between menstrual periods.

CAUSES

  • Dysfunctional uterine bleeding.

  • Uterine lining growing outside the uterus (endometriosis).

  • Embryo adhering to uterine wall (implantation).

  • Pregnancy growing in the fallopian tubes (ectopic pregnancy).

  • Miscarriage.

  • Menopause.

  • Cancer of the reproduction organs.

  • Certain drugs such as hormonal contraceptives.

  • Inherited bleeding disorders.

  • Trauma.

  • Uterine fibroids.

  • Sexually transmitted diseases (STDs).

  • Polycystic ovarian disease.

DIAGNOSIS

  • A history will be taken.

  • A physical exam will be performed.

  • Other tests may include:

  • Blood tests.

  • A pregnancy test.

  • An ultrasound of the abdomen and pelvis.

  • A biopsy of the uterine lining.

  • A MRI or CT scan of the abdomen and pelvis.

TREATMENT

Treatment will depend on the cause.

HOME CARE INSTRUCTIONS

  • Take all medicines as directed by your caregiver. Do not change or switch medicines without talking to your caregiver.

  • Take all iron supplements exactly as directed by your caregiver. Iron supplements help to replace the iron your body loses from irregular bleeding. If you become constipated, increase the amount of fiber, fruits, and vegetables in your diet.

  • Do not take aspirin or medicines that contain aspirin for 1 week before your menstrual period or during your menstrual period. Aspirin may increase the bleeding.

  • Rest as much as possible if you change your sanitary pad or tampon more than once every 2 hours.

  • Eat well-balanced meals including foods high in iron, such as green leafy vegetables, red meat, liver, eggs, and whole-grain breads and cereals.

  • Do not try to lose weight until the abnormal bleeding is controlled and your blood iron level is back to normal.

SEEK MEDICAL CARE IF:

  • You have nausea and vomiting, or you cannot keep foods down.

  • You feel dizzy or have diarrhea while taking medicine.

  • You have any problems that may be related to the medicine you are taking.

SEEK IMMEDIATE MEDICAL CARE IF:

  • You have a fever.

  • You develop chills.

  • You become lightheaded or faint.

  • You need to change your sanitary pad or tampon more than once an hour.

  • Your bleeding becomes heavy.

  • You begin to pass clots or tissue.

MAKE SURE YOU:

  • Understand these instructions.

  • Will watch your condition.

  • Will get help right away if you are not doing well or get worse.