Treatment to increase or decrease menstrual flow will depend on each case. It is possible to increase menstrual flow through the use of IUD (intrauterine device), for example. In order to reduce intense menstrual flow, there are several treatments, ranging from the use of hormonal medications à hysterectomy (surgical removal of the uterus).
Among the medications used to reduce menstrual flow are:
- Intravenous injection of estrogen: It promotes rapid growth of the innermost layer of the uterus (endometrium), which is the part of the uterus that peels off and leaves with menstruation.
- Oral estrogen: It is indicated for stable patients, without associated diseases, able to tolerate the oral administration of the medicine without stomach problems.
- Oral contraceptives: High doses of combined birth control pills can put an end to menstrual flow in 48 hours.
- Antifibrinolytic drugs: They are medicines that fight hemorrhages and do not interfere with fertility, since they are free of hormones. The effect can be noticed after two to three hours.
The treatments non-medicated to decrease menstrual flow include:
- Uterine Curettage: Through a scraping or suctioning of the uterus, the curettage ends with intense bleeding without harming the woman's fertility. However, this surgical method does not address the cause of heavy menstruation and the flows will continue to be intense if another treatment is not started.
- Packing: This involves introducing a balloon with fluid into the uterine cavity. After 3 hours, about half of that liquid is withdrawn and, if there is no further bleeding, the flask is withdrawn. If the bleeding persists or is very intense, the balloon can be kept in the uterus for 12 hours.
- Hysterectomy: Removal of the uterus is the last treatment option for abundant menstrual flows and is indicated when all other methods fail.
- Endometrial ablation: He has just had the intense menstrual flow, because it definitely destroys the endometrium. However, it is not recommended for women who still want to get pregnant.
It is important to remember that before trying to increase or reduce the menstrual flow, you need to know what is behind the sparse or abundant menstruation. Consult a gynecologist to receive an appropriate diagnosis and the most appropriate treatment as appropriate.
Learn more at:
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Doubts about menstruation, bleeding, exhaustion
How to reduce menstrual flow?
