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CLASS PRESENTATION
ON
menorrhagia
SUBMITTED TO : SUBMITTED BY :
MS PRIYANKA DOGRA ANKITA THAKUR
LECTURER AT HIMCAPES COLLEGE BSC NURSING
3RD
OF NURSING YEAR
MENSTURAL CYCLE
INTRODUCTION
 Heavy menstrual bleeding previously known
as menorrhagia and menorrhagia is a
menstrual period with excessively heavy flow
 Abnormal uterine bleeding can be caused by
structural abnormalities in the reproductive
tract
Definition
Menorrhagia is the medical term for menstrual
period with abnormally heavy or prolonged
bleeding
Or
Menorrhagia is define as excessive menstrual
blood loss which interfere with women physical,
social,emotional or material quality of life
Etiology
 Hormonal imbalance
• Stress
• Malnourishment
• Abortion
Ectopic pregnancy
• Birth control medications
• Ovarian cyst
• Polycystic ovarian syndrome
• Polyps
• Leukemia
• Menopause
Other Causes
 Cervical cancer
 Vaginal cancer
 Ovarian cancer
 Uterine cancer
Sign and Symptoms
 Soaking one or tampons and pads within one
hour
• Bleeding longer than 8 days
• Having back pain and abdomen pain during
menstruation
• Feeling tired
• Shortness of breath
• Leading to Anemia
Pathophysiology
No ovulation
No corpus luteum
No Progestron
Unopposed estrogen action on the endometrium.
Excess endometrial proliferation
Endometrium outgrowth its blood supply and necrosis
Estrogen withdrawal bleeding
Prolonged bleeding
Diagnostic Evaluation
Blood test
• Pap test
• Endometrial biopsy
• Sonohysterogram
• Hysteroscopy
Treatment :
 Medical treatment
1. Iron supplements
• Non steriodal anti-inflammatory drugs:
• Tranexamic acid
• Combined oral contraceptives
• Oral progesterone
Surgical TREATMENT
Dilatation And curettage
• Uterine artery embolization
• Endometrial ablation
• Hysterectomy
Complications
 Iron deficiency anaemia
• Severe pain
Summarization
Today we discussed about
 Definition
 Causes
 Sign and symptoms
 Pathophysiology
 Diagnostic evaluation
 Treatment
 Complications
ASSIGNMENT
 Make a assignment on diet which is
restricted in menorrhagia and diet
which is prescribed in menorrhagia.
menorrhagia.pptx presentation of obstetric and gynecological nursing

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menorrhagia.pptx presentation of obstetric and gynecological nursing