Managing Perimenopausal Bleeding
After determining via a thorough checkup that the irregular periods and the bleedings are all due to a female hormone imbalance (also known as perimenopause), it would be less stressful and you can now concentrate on finding a way to treat or at the very least, alleviate the discomfort.
There are several ways to stabilize menorrhagia (the medical term for excessive menstrual bleeding), usually prescribed by your doctor. These may include the following:
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Monitor your periods. The best way to determine if you are having perimenopausal bleeding is if you have a list of your periods – the frequency, how regular it is, the delays, the duration, etc. If you are bleeding heavily and are losing a lot of blood in the process, then your doctor may look into giving you iron supplements if you incur anemia.
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Low dose birth control pills. The pills are usually a way to regulate your periods and also, they control the other signs of perimenopause (like hot flashes and night sweats). Take note though, that these should be prescribed by a doctor as he will be the one to decide if you are viable for the prescription. Some women cannot be given the pill because of their medical history (if she has hypertension or diabetes) and if she smokes (because smoking causes the blood vessels to narrow and constrict).
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Progestogen. Also known as a form of progesterone, it is normally prescribed for 10 or 14 days, after which it will cause a woman who is not ovulating to experience a period. It may increase the bleeding, but the aim is to make it more regular, so it would still be okay.
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Vitamin K. While a deficiency of this vitamin is not common, it is still best to consider it till it can be ruled out. Vitamin K is needed for clotting, so this would greatly reduce excessive bleeding.
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Vitamin C. It is also said that a deficiency in vitamin C may also lead to excessive bleeding problems in perimenopause. There are not many studies on this in relation to menorrhagia, but some women feel that it has been a help to them. Try to combine this (in 250-500 mgs) with vitamin K (100-250 mcgms). Said dosages are safe to take for a couple of months.
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Lifestyle changes. Eat a healthy balanced diet. Stop smoking; it won’t do you any good anyway. If you drink alcohol, decrease the amount and the frequency (as it also contributes to stopping of a period). Take a calcium and multivitamin supplement. Exercise regularly so as to increase energy levels and to help improve blood circulation.
If your bleeding occurs 2 weeks apart or if you see that it is too much than usual, then it will not hurt to consult a doctor to rule out any possible medical illnesses.
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