Background:

Heavy menstrual bleeding is a common disorder characterized by excessive blood loss that affects the quality of life of a female in physical, emotional, social and financial aspects.

Heavy menstrual bleeding might be caused due to polyps, fibroids, adenomyosis, irregular ovulation, bleeding disorders, drugs, cancer and other etiologic factors. Physical health problems like iron deficiency anemia and fatigue may also be due to heavy bleeding in menstrual period in some cases.

Heavy Menstrual Bleeding and Anemia: Heavy Menstrual bleeding can cause decrease in the amount of hemoglobin and iron level and lead to anemia if not treated. Of all the women having heavy menstrual bleeding 2/3rd of the women suffered from Anemia.

The relationship between above parameters was investigated with factors like hemoglobin amount and serum ferritin level used for detection of anemia. Women with heavy menstrual bleeding had low hemoglobin and serum ferritin levels.

Heavy Menstrual Bleeding and Fatigue: In addition to iron deficiency, fatigue is the most reported symptom in women with heavy menstrual bleeding. The median general fatigue level and interference with daily activity scores were greater in women with heavy menstrual bleeding.

Heavy Menstrual Bleeding associated with anemia and fatigue decrease the quality of life of women. .