The current preferred terminology for menorrhagia is “heavy menstrual bleeding” (HMB).
HMB is an excessive amount (≥80 mL/cycle, compared with normal average of 30 to 60 mL/cycle) or ...
Suggestive historical features for HMB:
Bleeding substantially heavier than patient’s usual flow
Changing sanitary products every 1 to 2 hours or the need to change protection overnight
For acute control of severe bleeding (5):
Obtain IV access and consider blood transfusion...
N92.0 Excessive and frequent menstruation with regular cycle
N92.3 Ovulation bleeding
N92.2 Excessive menstruation at puberty
N92.1 Excessive and frequent menstruation with irregular cycle
Women with HMB are at high risk for iron deficiency anemia.
A thorough menstrual history is critical to differentiate HMB from similar conditions including anovulatory bleeding.
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