Anemia is low levels of a substance called hemoglobin in the blood that helps carry oxygen. Although there are many causes of anemia, it is mostly seen due to iron deficiency.

Prof. Dr. Behiye Pınar Göksedef gave information about the subject by stating that “the common cause of anemia in women is due to abnormal and severe menstrual bleeding”.

Abnormalities in the menstrual cycle cause iron deficiency

In addition to reasons such as decreased iron absorption in the body, it is mostly due to excessive blood loss. In particular, women seem to have anemia due to iron deficiency due to excessive blood loss during pregnancy and the menstrual cycle. While investigating the cause of anemia, abnormalities in the menstrual cycle of women should be questioned.

The normal menstrual cycle is characterized by bleeding lasting 4-8 days every 24-38 days. Total blood loss is around 80 milliliters. If menstrual bleeding occurs frequently, lasts more than 7 days, needs to change pads or tampons every 2-3 hours, leakage of bleeding from used pads, bleeding in the form of clots, excessive blood loss and anemia may occur.
Among the causes of excessive menstrual bleeding,

* hormonal irregularities,
* Thickening of the inner wall of the uterus and benign regional growths called polyps,
* fibroids,
* bleeding disorders,
* Malicious tumors originating from the uterus and cervix can be given as examples.

In case of abnormal menstrual bleeding, the first evaluation by the gynecologist usually includes blood count, coagulation tests and some hormone tests, general gynecological examination, ultrasonographic examination of uterus and ovaries. If necessary, advanced examinations such as uterine wall biopsy can be performed.

The treatment of abnormal bleeding is planned according to the cause, age, and whether there is a desire for pregnancy. Hormonal drugs, blood coagulants, hormone spirals can be used in the treatment, and in some cases, surgical intervention may be required.

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