Women’s Health

Local pathology in the female pelvis is a common cause of menorrhagia, along with other causes of menorrhagia such as due to general diseases and due to some endocrine disturbance.

In large percentage of cases of menorrhagia the cause is some local pathology in the pelvis. One of the classic examples of local disease in pelvis causing menorrhagia is ‘myoma’ and menorrhagia is the characteristic symptom of myomas. Myomatous polypi are found often during diagnostic curettage while investigating the cause of menorrhagia, so are endometrial polypi found sometimes during investigation of menorrhagia. Inflammation of pelvic area like salpingo-oophoritis (inflammation of ovary and Fallopian tube) also can cause menorrhagia by causing hyperemia.

First menstrual period after childbirth and abortion may be excessive because the uterus is enlarged and not involuted properly. Retroversion of uterus also the menstrual bleeding may be in excess. The symptoms of chocolate cyst may also sometime be menorrhagia, which is also may be due to hyperemia induced by the presence of chocolate cyst. Endometriosis generally does not cause menorrhagia, unless the tumor is estrogenic like granulosa cell tumor.

Symmetrical enlargement of uterus (equal to eight to ten weeks of pregnancy), which is generally due to hyperplasia of uterine musculature, may also be the cause of menorrhagia, as is seen in the pelvic examination of patients. The symmetrical enlargement of uterus is due to excessive estrogen stimulation as seen in adenomyosis. Tuberculosis of emdometrium also presents as menorrhagia in the early stage of disease.

This entry was posted on Saturday, July 25th, 2009 at 12:00 pm and is filed under Menstrual Disorders. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.