Countermeasures for excessive menstruation | Self-check now to know the guideline and cause of bleeding!

The amount of menstrual bleeding that you usually don't have the opportunity to measure or compare with others. For those who are worried about heavy menstrual bleeding, the content summarizes the causes and countermeasures for excessive menstruation. It comes with a self-check that serves as a guideline for whether your menstrual flow is large. If you are worried about the amount of menstruation, please refer to it.

Find out in this article

  • What is menorrhagia
  • Self-check whether you have excessive menstruation!
  • The causes of menorrhagia vary according to age and circumstances.
  • What is the remedy for excessive menstruation?
  • Excessive menstruation can be a disease

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What is menorrhagia

Menorrhagia is, as the name suggests, a condition in which the amount of bleeding is abnormally greater than normal menses . The normal range of blood loss per menstrual period is 20-140ml. Therefore, menorrhagia is defined as a bleeding amount of more than 140 ml. Heavy bleeding can result in prolonged periods, mixed blood clots, and anemia.

[Self-check] Find out if you have excessive menstruation!

You can also use a menstrual cup to measure your menstrual flow. However, there are many people who do not have the opportunity to use a menstrual cup on a daily basis, and since they do not actually measure the amount of menstruation every time, it is difficult to know if their bleeding amount is large .

Therefore, as a guideline, let's self-check whether there is a lot of menstruation!

  • A normal napkin lasts less than an hour
  • frequent blood clots during menstruation
  • Use night napkins during the day and change frequently
  • menstrual period lasting more than 8 days
  • Anemia-like symptoms such as dizziness, lightheadedness, and shortness of breath

The causes of menorrhagia vary according to age and circumstances.

There are many causes of menorrhagia, but there are three main ones.

  • caused by hormonal imbalance
  • hidden uterine disease
  • not working well to stop bleeding

Hormonal imbalance often occurs in people who are prone to unstable menstrual cycles.

For example, young people who are in puberty when their ovaries have not fully grown, and menopausal women whose ovarian function gradually declines. However, even people in their 20s and 30s who have a stable menstrual cycle may become unstable due to excessive stress or rapid weight loss.

It's just that if the symptoms are prolonged or there is strong pain, there is a possibility that the disease is hidden in the uterus.

What are the remedies for excessive menstruation?

In order to deal with excessive menstruation, the first step is to check whether there is a disease or anemia that is the cause, and then take measures according to the cause and symptoms.

It is anemia that needs attention when there is a lot of menstruation! If you have anemia, treatment for anemia is common, and if it interferes with your daily life, treatment with hormones is common.

Especially if there is no other disease such as the uterus and it is caused by hormonal imbalance, there are measures to stabilize the hormonal balance. It is necessary to be careful because the balance of female hormones is a problem at any age.

taking hormones such as pills

It is a treatment that takes pills containing ingredients similar to female hormones. The pill is not only a contraceptive, but also a medicine that has various side effects such as irregular menstruation because it suppresses ovulation and stabilizes female hormones.

It also reduces the amount of menstrual flow by thinning the lining of the uterus. Especially when it is so severe that it interferes with daily life, contraceptives containing hormones that are inserted into the uterus are effective for excessive menstruation1).

Take herbal medicine if mild

In order to alleviate the symptoms of excessive menstruation, Kampo medicine may be prescribed according to other symptoms and constitution.

For example, if you have anemia, you may use Kyuukikyogaito, a herbal medicine that works to replenish the blood.

In addition, heavy menstrual flow is often associated with painful menstrual cramps.
Tokishakuyakusan is an herbal medicine that is effective not only for anemia but also for severe menstrual pain and irregular menstruation 2).

However, the effect of Chinese herbal medicine is more gradual than other medicines, so the pill is recommended if you want to reduce bleeding as soon as possible because the amount of menstrual flow is so large that it causes anemia.

▼ You can consult Kampo on LINE
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Read the following articles together
Premenstrual-induced PMS and the relationship between herbal medicine

adjust one's lifestyle

The first step to balancing your hormones is to make changes to your lifestyle .

Even if you are not sick, your hormone balance tends to be disturbed by stress and other irregular lifestyles. If you also see disturbances in your menstrual cycle, look back on whether you have been under a lot of stress or diet recently, and try to live a regular life.

Also, to prevent anemia, be aware of a balanced diet, especially a diet that does not lack iron. It is recommended to take together red meat and fish that contain a lot of heme iron, vitamin C and protein that improve iron absorption!

warm the body

It is said that the coldness of the body affects the amount of menstruation and the worsening of menstrual pain, so let's take measures to warm the body.

It is said that "coldness is a woman's greatest enemy!" Even in the summer, be careful not to cool the air conditioner or take too many cold things!

In addition, it is important to take time to relax slowly in order to balance hormones. When you're busy, how about taking some time to soak in your favorite scented aroma bath?

[Prevention of leakage] Napkins recommended for those with excessive menstruation

If you have a lot of menstrual flow, what you are worried about is leakage of menstrual blood. We recommend napkins with a high absorption capacity, such as napkins for night use, napkins with wings, and shorts.

  • Ellis 40 cm with super safe wings until morning
    Pads made for menorrhagia
  • Sophie Super Sound Sleep Shorts
    A shorts-type napkin that covers your buttocks for long periods of time, such as when you are sleeping.
There are other measures such as using your favorite napkin with absorbent shorts, a menstrual cup, or Synchrofit. Different sanitary napkins have different comfort levels, so please try to find a solution to prevent menstrual bleeding that suits you.

If the symptoms are severe or last for a long time, there is a possibility of illness, so be careful

If the symptoms are severe, it may be hidden by a uterine or blood disease, so be careful! For example, the following diseases are considered for uterine diseases, and treatment is performed for each disease.

  • Uterine fibroid
  • Adenomyosis of the uterus
  • endometrial polyp
  • cervical cancer
  • endometrial cancer
In order not to overlook the disease, if the symptoms are severe or the bleeding continues for a long time, do not think that you will cure yourself and go to the hospital!


Accurately measuring the amount of menstrual flow is difficult. Therefore, there is a possibility that you may be anemic or overlook a hidden disease without realizing that you have excessive menstruation.

Fluctuations in menstrual flow due to hormonal imbalance may be mild and can be managed by oneself, while in some cases, depending on the symptoms and condition, treatment at a hospital may be required.

Therefore, I think that it is one of the timings to go to the hospital for those who are concerned about their heavy menstruation or who fit the self-check. If you are worried about your menstrual flow, please consider visiting a gynecologist.

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1) Bayer Yakuhin, Ltd. Mirena 52mg package insert 2019

2) Tsumura Co., Ltd. Tsumura Tokishakuyakusan extract granules (medical use) Package insert 2014