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Menorrhagia during puberty is menstrual bleeding that lasts more than 7 days or vaginal bleeding that persists even though a period has not yet been reached. During puberty, this condition causes anxiety, impaired concentration and leads to many other health problems.

1. Causes of menorrhagia during puberty

When a girl starts menstruating, her hormone system is not yet fully developed. That means your baby’s periods may be irregular for a few years.

Normally, the menstrual cycle usually lasts about 28 days, but it can also be a few days earlier or later.

Menstrual bleeding usually lasts about a week. Bleeding is concentrated in the first few days. Therefore, if a child has persistent vaginal bleeding, occurs before the menstrual period, or has menstrual bleeding more than 7 days, there is a high chance that the child has menorrhagia. In more severe cases, the baby may even have menorrhagia for a whole month.

It is not always easy to determine the cause of menorrhagia. However, menorrhagia during puberty can be influenced by a number of factors, such as:

1.2.Hormonal imbalance

A hormone imbalance between estrogen and progesterone can cause menorrhagia. Health problems that cause hormone disruption during puberty include:

Ovarian dysfunction: This occurs when the baby’s body does not ovulate during the menstrual cycle, causing hormone imbalance and menorrhagia.

– Polycystic ovary syndrome

– Fat

Thyroid problems, such as hypothyroidism

1.3.Bleeding disorders

Bleeding disorders can also cause more bleeding during your period than usual. Causes of bleeding disorders in this age group often include:

Von Willebrand disease: An inherited disorder caused by a deficiency or decreased activity of a blood-clotting protein called von Willebrand factor.

Platelet disorders, such as low platelets or underactive platelets

1.3.Infection

Puberty girls can get infections from sexually transmitted diseases or infections in nearby areas, such as the pelvis. This infection can cause prolonged vaginal bleeding, leading to anemia and weakness.

1.4. Endocrine problems

Diseases of the reproductive organs can cause menorrhagia during puberty. They may include:

Polyps (benign, abnormal growths of tissue) form on the lining of the uterus.

Uterine fibroids: Benign tumors that form in the uterus.

Cancer: Malignant growth in the uterus or cervix. However, cases of cancer occurring in adolescents are very rare.

1.5.Side effects of drugs

Certain medications can contribute to heavy and prolonged menstrual bleeding, including:

– Hormonal drugs

– Anti-inflammatory drugs

– Anticoagulants

1.6.Complications of pregnancy

Menorrhagia can occur even when girls are pregnant. When a woman has a late period, bleeding a lot, it may be a case of miscarriage.

2. Menorrhagia symptoms

Menorrhagia symptoms during puberty may include:

– Vaginal bleeding is so much that you have to change tampons constantly, even at night

– Menstruation lasts more than 1 week

Have symptoms of anemia such as fatigue, dizziness, shortness of breath

– Presence of large blood clots during menstruation

Restricted daily activities due to excessive bleeding.

3. Treatment of menorrhagia during puberty

Treatments for pubertal menorrhagia include non-surgical and surgical methods. The choice of treatment plan for menorrhagia will be based on:

– Age, overall health and medical history of the child

Causes and severity of menorrhagia

– The type of medication, procedure, or therapy the child can tolerate/accept

– Plan to have children in the future

Effects of menorrhagia on quality of life

– Children’s opinions and interests

4. Non-surgical treatment

In most cases, menorrhagia can be treated with medication, such as:

Non-steroidal anti-inflammatory drugs: Effective in reducing blood loss and reducing menstrual pain.

Oral contraceptives: Helps regulate menstrual cycles, reducing prolonged or excessive bleeding.

Oral Progesterone: Helps balance hormone levels and reduce symptoms of menorrhagia.

Intrauterine device (IUD): Releases a progestin, which helps reduce menstrual bleeding and menstrual pain.

– Tranexamic acid: works to reduce blood loss during menstrual bleeding.

5. Surgical treatment

In rare cases, a child needs surgery to treat menorrhagia. At that time, you and your baby will be referred to a gynecologist to conduct the necessary procedures.

Having menorrhagia during puberty is a terrible experience for any girl. Therefore, in the process of examination and treatment, you should accompany, reassure as well as support to help your child feel less self-conscious and negatively affect psychological well-being.

Source: Collector