Is a high menstrual flow a disease?

Patient's question:

My sister has an extremely heavy menstrual flow every time she gets her period, almost needing to change her pad every two hours. Is this a medical condition? Are there any treatments available?

Doctor's answer:

Many factors can cause excessive menstrual bleeding.
1. Excessive secretion of estrogen by the ovaries, or prolonged stimulation of the endometrium leading to its hyperplasia beyond normal thickness, resulting in increased blood loss during shedding. This is seen in cases of anovulatory dysfunctional uterine bleeding.
2. Organic lesions in gynecology. Such as uterine fibroids, uterine polyps, etc.
3. Systemic diseases. Such as leukemia, aplastic anemia, thrombocytopenia, pernicious anemia, liver disease, hypertension, etc.
4. Psychological factors, fatigue, postpartum, and intrauterine devices (IUDs) can also cause heavy menstrual bleeding.
5. In some patients, the abundance of spiral arteries in the endometrium or increased vascular fragility can also lead to this condition. It is recommended to consult a traditional Chinese medicine (TCM) practitioner, as TCM has proven effective in treating menstrual disorders. First, undergo relevant examinations to rule out organic lesions, and then take oral Chinese medicine for treatment. This should yield good results.

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