Menstruation pain

Many women suffer from heavy menstrual blood loss, also called menorrhagia. Many women experience menorrhagia at a later stage of life, often around the menopause phase because it changes the balance in the hormones. The change of the hormones causes the menstrual flow to get heavier (or lighter). There are other causes of a heavy menstrual blood loss: like fibroids (good-natured bumps on the muscle layer of the uterus) or polyps (a bulge of the uterine lining.)

Heavy blood loss does not only have physical impact, but it can influence your social life too. the gynaecologist can often help reduce or obviate your menstrual problems. The gynaecologist will discuss the different treatments with you.


Hormonal treatment, hormonal medicines with oestrogens and/or progestogens can thin out the uterine lining and reduce the menstrual blood loss. These medicines can often be given by the general practitioner.  The most known treatment is the anticonception pill.

The IUD (Mirena) is originally developed as an anticonception medium. But it is also very effective in decreasing the menstrual blood loss. This is due to the hormone is the IUD: levonorgestrel (a progestogen), it supresses the grow of the uterine lining (endometrium). Hereby there is no build up in the uterine lining and the blood loss will be decreased. Sometimes the menstruation does not happen at all. The IUD contains a lot less hormones than the anticonception pill.

The implantation of the IUD is a simple operation, but it is often found to be unpleasant. The operation is done without a local anaesthesia. The most important side effects of the Mirena-IUD is that there is (little) intermediate blood loss (especially in the first months after the implantation of the IUD).