Menorrhagia = regular excessive menses occurring over several cycles in an otherwise normal menstrual cycle.
It’s mainly subjective – what’s normal for one women may be excessive for another.
NICE suggests bringing a women’s quality of life into it – ie excessive menstrual bleeding which effects a women’s quality of life.
Objectively menorrhagia is defined as more than 80mls blood loss.
- Intrauterine Levonorgestrel releasing device (Merena coil) – anticipated 12month use
- Tranexamic acid or non-steroidals with Combined oral contraceptives
- Noresthisterone (15mg) daily for days 5-26 of the cycle or injected long acting progesterogens