Authors:
Hurskainen R. Aalto A-M. Teperi J. Grenman S. Kivela[spacing diaeresis] A. Kujansuu E. Vuorma S. Yliskoski M. Paavonen J.
Institution:
Dr. R. Hurskainen, Stakes, Siltasaarenk. 18, 00531 Helsinki; Finland.
Title:
Psychosocial and other characteristics of women complaining of menorrhagia, with and without actual increased menstrual blood loss (2001-3341).
Source:
British Journal of Obstetrics and Gynaecology. Vol 108(3) (pp81-285), 2001.
Abstract:
Objectives:
To discover whether psychosocial factors can explain why many women with normal menstrual blood loss seek care for menorrhagia.
Design:
Cross-sectional comparative study of women referred for menorrhagia.
Setting:
Gynaecology departments of all five university teaching hospitals in Finland. Sample: Two hundred and twenty-six women aged 35-49 years complaining of menorrhagia.
Settings, Design and Main Outcome Measures:
Several psychosocial factors, seeking medical attention, menstrual blood loss.
Results:
Twenty-nine percent of the women had their menstrual blood loss in the normal range (menstrual blood loss<60 mL). By univariate analysis, unemployment, anxiety, perceived inconvenience, abdominal pain, haemoglobin level and serum ferritin concentration distinguished this group of women from those with true menorrhagia. Unemployment, perceived inconvenience, abdominal pain and serum ferritin remained significant variables by multivariate analysis.
Conclusions:
A significant proportion of women with complaints of menorrhagia have their measured menstrual blood loss within the normal range. Psychosocial factors can have an impact on their seeking health care. Better understanding of the factors, which explain complaints of menorrhagia in women with normal bleeding could improve both medical outcomes and reduce the cost of treatment for menorrhagia.
Please click on the required question.
- 1 Are heavy periods a common problem?
- 2 What is in my menstrual flow?
- 3 What range of menstrual cycle length is considered to be normal?
- 4 How can menstrual blood loss be measured?
- 5 How can I tell if my periods are abnormally heavy?
- 6 What could be the cause of my very heavy menstrual periods?
- 7 I have been sterilised. Could this be the cause of my heavy periods?
- 8 Should I have tests to find the reason for my heavy periods?
- 9 How will my heavy period problems be investigated?
- 10 What is meant by anaemia due to heavy periods?
- 11 What is intermenstrual bleeding?
- 12 What is a hysteroscopy and D and C?
- 13 What is cervical cautery?
- 14 What happens after the D and C?
- 15 What treatments are available for my heavy periods?
- 16 What are the medical treatments available for heavy periods?
- 17 How do the various medical treatments for heavy periods work?
- 18 What would be reasonable initial treatment for a teenager or young woman with heavy periods?
- 19 What is a hysterectomy?
- 20 What are the indications for hysterectomy?
- 21 What are the risks (complications) of hysterectomy?
- 22 What is vault granulation?
- 23 What are the different types of hysterectomy?
- 24 Is it essential to remove the neck of the womb at hysterectomy?
- 25 Should my ovaries be removed or conserved during hysterectomy?
- 26 How long will I be in hospital when I have my hysterectomy?
- 27 I have had a hysterectomy. Do I still need to have smear tests?
- 28 What are the other surgical alternatives to hysterectomy?
- 29 How do endometrial ablation and hysterectomy compare?
- 30 Are there any psychological effects following hysterectomy?
- 31 How do we decide the best treatment for my period problems?
- 32 Could I have some recommended hysterectomy support groups?
- 33 Are there any support groups?
- Intermenstrual Bleeding - Bleeding between periods.
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