What is menorrhagia, and how is it treated?

Written by: Mr Mahantesh Karoshi
Edited by: Conor Lynch

In this article here below, highly experienced consultant gynaecologist, Mr Mahantesh Karoshi, discusses both PCOS and menorrhagia in detail, as he explains what both conditions are.

What is PCOS?

Polycystic ovarian syndrome (PCOS) is a common endocrine disorder that affects women of reproductive age. It is characterised by hyperandrogenism, ovulatory dysfunction, and polycystic ovaries. PCOS is associated with various metabolic and reproductive complications, such as insulin resistance, type 2 diabetes, cardiovascular disease, infertility, and endometrial cancer.


What are the main symptoms of PCOS?

One of the common symptoms of PCOS is menstrual irregularity, which can manifest as oligomenorrhea (infrequent periods), amenorrhea (absence of periods) or menorrhagia (heavy or prolonged periods).


What is menorrhagia, and how is it treated?

Menorrhagia is defined as menstrual blood loss exceeding 80 ml per cycle or lasting longer than seven days. It can cause anaemia, fatigue, dysmenorrhea (painful periods) and a reduced quality of life.


The prevalence of menorrhagia in women with PCOS is not well established, but some studies suggest that it ranges from 10 to 30 per cent. The possible mechanisms underlying menorrhagia in PCOS include hormonal imbalances, insulin resistance, and inflammation.


The treatment of menorrhagia in women with PCOS depends on the underlying cause, the severity of symptoms and the fertility goals of the patient. Some of the available options are:


  • Lifestyle modification
  • Hormonal contraception
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Tranexamic acid
  • Surgical intervention


To consult with Mr Mahantesh Karoshi, simply visit his Top Doctors profile today, where you can schedule in an appointment.

By Mr Mahantesh Karoshi
Obstetrics & gynaecology

Mr Mahantesh Karoshi is a London-based women’s health expert and consultant gynaecologist, with a special interest in ovarian cysts, heavy menstrual bleeding, infertility, fibroids, and adenomyosis. He is currently one of the most highly-rated gynaecologists in London with a very good reputation amongst his patients and peers.

Mr Karoshi's work is recognised internationally, having volunteered in Ethiopia’s Gimbie Hospital, and later receiving the Bernhard Baron Travelling Fellowship from the Royal College of Obstetricians and Gynaecologists which led to his work in the University of Buenos Aires. Here he worked on the techniques needed to surgically manage morbidly adherent placental disorders - a serious condition that can occur in women with multiple caesarean sections.

He believes in an open doctor-patient relationship, being sure to include the patient and educating them so that they understand their condition better and they can be directly involved in their care and management at every stage. Aside from his clinical work, he is actively involved in research, which together with his experience, has given him the opportunity to publish the first stand-alone textbook on postpartum haemorrhage which was launched by HRH Princess Anne.

At the core of Mr Karoshi's practice is a high standard of professionalism where patients are involved in their treatment and where the latest techniques and advancements are used to provide an extremely high level of care.

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