How is menorrhagia diagnosed?
Menorrhagia is diagnosed by your doctor through a series of questions about your medical history and menstrual cycles. Usually for women with menorrhagia bleeding lasts for more than 7 days and more blood is lost (80 milliliters compared to 60 milliliters).
Your doctor may ask for information about:
- Your age when you got your first period
- Length of your menstrual cycle
- Number of days your period lasts
- Number of days your period is heavy
- Quality of life during your period
- Family members with a history of heavy menstrual bleeding
- Stress you are facing
- Weight problems
- Current medications
Physical tests or exams done to diagnose menorrhagia may include:
- Pelvic exam
- Blood test to check thyroid, check for anemia and how the blood clots
- Pap test to check cells from cervix for changes
- Endometrial biopsy to check uterine tissue for cancer or abnormalities
- Ultrasound to check function of blood vessels, tissues and organs
Sometimes additional tests are still required to understand the cause of bleeding, including:
- Sonohysterogram to check for problems in the lining of the uterus
- Hysteroscopy to check for polyps, fibroids or other problems
- Dilation and curettage (“D&C”). This test can also treat the cause of the bleeding. During this test, the lining of the uterus is scraped and examined under sedation.