Your doctor will most likely ask about your medical history and menstrual cycles. You may be asked to keep a diary of bleeding and nonbleeding days, including notes on how heavy your flow was and how much sanitary protection you needed to control it.
Your doctor will do a physical exam and may recommend one or more tests or procedures such as:
- Blood tests. A sample of your blood may be evaluated for iron deficiency (anemia) and other conditions, such as thyroid disorders or blood-clotting abnormalities.
- Pap test. In this test, cells from your cervix are collected and tested for infection, inflammation or changes that may be cancerous or may lead to cancer.
- Endometrial biopsy. Your doctor may take a sample of tissue from the inside of your uterus to be examined by a pathologist.
- Ultrasound. This imaging method uses sound waves to produce images of your uterus, ovaries and pelvis.
Based on the results of your initial tests, your doctor may recommend further testing, including:
- Sonohysterography. During this test, a fluid is injected through a tube into your uterus by way of your vagina and cervix. Your doctor then uses ultrasound to look for problems in the lining of your uterus.
- Hysteroscopy. This exam involves inserting a thin, lighted instrument through your vagina and cervix into your uterus, which allows your doctor to see the inside of your uterus.
Doctors can be certain of a diagnosis of menorrhagia only after ruling out other menstrual disorders, medical conditions or medications as possible causes or aggravations of this condition.
July 15, 2017
- Ferri FF. Menorrhagia. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed April 10, 2017.
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- Frequently asked questions. Gynecologic problems FAQ095. Abnormal uterine bleeding. American College of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Abnormal-Uterine-Bleeding. Accessed April. 13, 2017.
- Cunningham FG, et al. Abnormal uterine bleeding. In: Williams Obstetrics. 24th ed. New York, N.Y.: The McGraw-Hill Companies; 2014. http://accessmedicine.mhmedical.com. Accessed April 10, 2017.
- AskMayoExpert. Adolescent menorrhagia. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
- Kaunitz AM. Approach to abnormal uterine bleeding in nonpregnant reproductive-age women. https://www.uptodate.com/home. Accessed April 13, 2017.
- Kaunitz AM. Management of abnormal uterine bleeding. https://www.uptodate.com/home. Accessed April 13, 2017.
- MR-guided focused ultrasound for uterine fibroids. Radiological Society of North America. https://www.radiologyinfo.org/en/info.cfm?pg=mrgfus. Accessed April 15, 2017.
- Butler Tobah YS (expert opinion). Mayo Clinic, Rochester, Minn. May 18, 2017.
Menorrhagia (heavy menstrual bleeding)