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Hypermenorrhea Symptoms & Diagnosis


Symptoms of menorrhagia include:

  • Menstrual bleeding lasting more than seven days
  • Unusually heavy bleeding (soaking through a sanitary napkin or tampon every hour)
  • Menstrual flow requiring change of sanitary protection during the night
  • Menstrual flow including large clots
  • Menstrual flow interfering with lifestyle
  • Fatigue and/or shortness of breath (symptoms of anemia )


Your healthcare provider will ask about your symptoms and medical history. A physical examination including pelvic exam will be done as part of the evaluation. Tests may include:

  • Pap test
  • Blood tests
  • Pregnancy test
  • Ultrasound —a test that uses sound waves to examine your reproductive organs (uterus and ovaries)
  • Endometrial biopsy —removal of a sample of endometrial tissue to look for changes in the lining of the uterus
  • Dilation and curettage (D&C)—scraping of the inner lining of the uterus
  • Hysteroscopy—examination of the cervix and fallopian tubes using a telescope-like viewing device

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright © 2023 EBSCO Publishing All rights reserved.

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