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Menorrhagia is defined as excessive uterine bleeding occurring at regular intervals or prolonged uterine bleeding lasting more than seven days. The classic definition of menorrhagia (i.e., greater than 80 mL of blood loss per cycle) is rarely used clinically. Women describe the loss or reduction of daily activities as more important than the actual volume of bleeding. Routine testing of all women with menorrhagia for inherited coagulation disorders is unnecessary. Saline infusion sonohysteroscopy detects intracavitary abnormalities such as endometrial polyps or uterine leiomyoma and is less expensive and invasive than hysteroscopy. Endometrial biopsy is effective for diagnosing precancerous lesions and adenocarcinoma but not for intracavitary lesions. Except for continuous progestin, medical therapies are limited. The levonorgestrel-releasing intrauterine device is an effective therapy for women who want to preserve fertility and avoid surgery. Surgical therapies include endometrial ablation methods that preserve the uterus; and hysterectomy, which results in high satisfaction rates but with potential surgical morbidity. Overall, hysterectomy and endometrial ablation result in the greatest satisfaction rates if future childbearing is not desired. Treatment of menorrhagia results in substantial improvement in quality of life. [ABSTRACT FROM AUTHOR]

Discusses the management of menorrhagia classified as dysfunctional uterine bleeding. Definition of menorrhagia; Diagnosis; Prostaglandin inhibitors; Hormonal therapy; Antifibrinolytic agents; Duration of therapy; Hysterectomy; Dilatation and curettage; Endometrial ablation and resection; Choice of treatment.

Presents a summary of the article `Medical Research Council Randomised Trial of Endometrial Resection Versus Hysterectomy in Management of Menorrhagia,' by H. O'Connor, et al from the `The Lancet,' dated 1997. Methodology of the study; Result of the study on women treated surgically for menorrhagia; Conclusion.

Presents a summary of the study `Thermal balloon and rollerball ablation to treat menorrhagia: a multicenter comparison,' by W.R. Meyer, et al, which appeared in `Obstetrics and Gynecology,' dated July 1998.

Presents a summary of the article `Treatment of Menorrhagia During Menstruation: Randomised Controlled Trial of Ethamsylate, Mefenamic Acid, and Tranexamic Acid,' by J. Bonnard and B.L. Sheppard from the `British Medical Journal' dated 1996. Method used in the study; Pathophysiology of menorrhagia; Outcome of the study; Treatment of menorrhagia; Author's conclusion regarding effectiveness of medical management of menorrhagia.

Reports on a study conducted by Fraser and colleagues published in the 1996 issue of the `Obstetrics Gynecology' periodical concerning the efficacy of danazol and goserelin therapy in menorrhagia. Comparison of the efficacy of danazol and deport goserelin in the relief of symptoms in patients with menorrhagia; Effect of treatment on outcome of surgery in patients.

Presents an abstract of an article on `Microwaves for Menorrhagia: A New Fast Technique for Endometrial Ablation,' by N. C. Sharp et al taken from the 1995 edition of the periodical `The Lancet.'

The article discusses various reports published within the June 2007 issue of "American Family Physician," including one about treating menorrhagia and another about considering additional treatment options for patients with diabetes.

Deals with a study which compared microwave endometrial ablation with transcervical endometrial resection as treatments of menorrhagia. Patients and methods; Results and discussion; Conclusion.

Reports that the United States Food and Drug Administration has granted marketing approval for Her Option Uterine Cryoblation Therapy System. Description of the device; How it is used for endometrial ablation in premenopausal women with menorrhagia from benign causes; Adverse effects.

Reports that the United States Food and Drug Administration approved a device called ThermaChoice, for treating benign menorrhagia in premenopausal women for whom childbearing is complete. Description of the device; How the device is used; Results of a study conducted on the thermal ablation device.

Proposes endometrial ablation as an alternative therapy for menorrhagia. Technique; Advantages; Study conducted to assess its medium-term efficacy.