What are the signs and symptoms of menorrhagia?

Updated: Dec 20, 2018
  • Author: Julia A Shaw, MD, MBA, FACOG; Chief Editor: Michel E Rivlin, MD  more...
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Answer

Symptoms related by a patient with menorrhagia often can be more revealing than laboratory tests. A detailed patient history is imperative and should include inquiries about the following:

  • Exclusion of pregnancy (the most common cause of irregular bleeding in women of reproductive age and the first diagnosis that should be excluded before further testing or drug therapy)

  • Quantity and quality of bleeding

  • Age

  • Pelvic pain and pathology

  • Menses pattern from menarche

  • Sexual activity

  • Contraceptive use (intrauterine device [IUD] or hormones)

  • Presence of hirsutism (polycystic ovarian syndrome [PCOS])

  • Galactorrhea (pituitary tumor)

  • Systemic illnesses (hepatic or renal failure or diabetes)

  • Symptoms of thyroid dysfunction

  • Excessive bruising or known bleeding disorders

  • Current medications (hormones or anticoagulants)

  • Previous medical or surgical procedures or diagnoses


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