Menorrhagia or excessive menstrual bleeding affects millions of American women.
Normal menstrual cycles are regulated by a precise hormonal cycle during the reproductive years. During adolescence and perimenopause these hormones often do not cycle appropriately and result in lack of menses, irregular menses or excessive flow. Other hormonal alterations can cause abnormalities in the cycle as well.
In addition to hormonal causes for excessive bleeding, there may also be structural problems within the uterus itself. These include conditions such as some fibroids,polyps or adenomyosis. Most of these conditions will respond to medical treatment but occasionally surgery is needed.