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METRORRHAGIA
& MENORRHAGIA
By DR. MD SANEN S.
BHMS 2019-BATCH
AMSHMC BELGAUM
Menorrhagia-
Menorrhagia is defined as cyclic bleeding at
•normal intervals; the bleeding is either excessive in
•amount(>80 ml) or
•duration (>7days) or
•both
Causes
* Organic
* Functional
Organic
• Pelvic- fibroid uterus
• Adenomyosis
• Pelvic endometriosis
• IUCD
Systemic
• Liver dysfunction(cirrhosis)
• Congestive cardiac failure
• Severe hypertension
Endocrinal
• *Hyperthyroidism
• *hypothyroidism
Hematological
• *leukemia
• *platele deficiency (thrombcytopenia)
• Emotional upset
Functional-
Disturbed hypothalamo-pituitary-ovarian-endometrial-ovarian-axis
• Diagnosis - long duration of flow,
• passage of big clots, use of Increased number of thick sanitary
pads ,pallor and
• low level of hemoglobin gives an idea about the correct diagnosis of &
magnitude of menorrhagia
• Treatment-treatment is appropriate
• to the cause of menorrhagia
METRORRHAGIA AND MENORRHAGIA - CAUSES .pptx