“Research has shown that 14% of patients who consult a physician due to excessive menstrual bleeding have a coagulation disorder. This disorder may be due to the low number or dysfunction of clotting cells called platelets in the blood, or it may be due to the deficiency of some proteins that enable blood clotting.”
The question of a female reader from Uşak who does not want her name to be given is as follows:
“I am 25 years old. My teacher. I have had anemia for as long as I can remember. I went to many doctors. They said my anemia was due to iron deficiency. They prescribed medicine. I used the iron pill. I've improved a little. My blood count increased slightly. Then it fell again. They gave iron as serum. It rose slightly again. But then it fell again. I have heavy menstrual bleeding. I was told to go to my Gynecologist. But the doctor I went to said there was no pathology. My blood level now is 9g. I don't want to use medication anymore. What might cause this? How can I find a solution? I would be happy if you could help me.”
What is anemia?
According to the World Health Organization criteria, the level of hemoglobin (the protein that carries oxygen in red blood cells) in the blood is 13 g/dL in men, It is called anemia if it is below 12 g/dL in women.
Which is the most common cause of anemia?
Again, according to the data of the World Health Organization, the percentage of the world's population is anemia. Anemia due to iron deficiency (iron deficiency anemia) is the most common cause of anemia today. Iron deficiency anemia is not a disease, but a laboratory finding due to another underlying disease. For the correct treatment of this condition, it is necessary to first make a correct diagnosis and clarify the underlying disease.
Why is iron deficiency common in women?
Iron deficiency usually causes blood loss, It is due to malnutrition or disorders in the absorption of iron taken with food. Those most at risk of iron deficiency: babies, young children, women and people with chronic diseases.
Anemia due to iron deficiency is more common (5-10 times) especially in women than in men. Because women are more fortunate in terms of iron stores. leak. The most important reason for this is that the body cannot replace the amount of blood and iron lost due to menstrual bleeding that repeats regularly every month. Again, iron deficiency may develop due to blood loss during birth and frequent pregnancy intervals, thus increasing the need for iron.
Could excessive menstrual bleeding be due to coagulation disorders?
One in 10 women in society experience excessive menstrual bleeding. We can use the definition of excessive menstrual bleeding for bleeding that lasts longer than a week, contains clots, and generally involves the use of more than 10 pads during this period.
It is due to hormonal disorders, the use of spirals, and benign masses called "myomas" in the uterus. it could be. Therefore, it would be appropriate for a patient in this situation to first be referred to a gynecologist. In patients whose gynecological examination does not reveal any problems and who do not have bleeding due to the reasons we mentioned, the patient must be screened for clotting disorders.
Research has shown that 14% of patients who consult a physician due to excessive menstrual bleeding have a coagulation disorder. This disorder may be due to the low or dysfunction of clotting cells called platelets in the blood, or it may be due to the deficiency of some proteins that enable blood clotting.
Some medications used during menstruation are used in patients with excessive menstrual bleeding due to clotting factor deficiency or platelet dysfunction. The occurrence or recurrence of iron deficiency can be prevented by reducing the amount of bleeding with medications.
Stay with health and hope.
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