A 45-year-old woman recently went into shock, lost consciousness and came close to heart failure during her period due to a condition known as uterus adenomyosis, a relatively common abnormality of the uterus that is accompanied by frequent uterine pain and heavy bleeding.
Taipei City Hospital Hoping Fuyou obstetrician-gynecologist Lin Tzu-yin (林姿吟) said the woman first sought medical attention six months ago for abnormally heavy menstrual bleeding and menstrual pain.
“The patient complained that her menstrual period was excessively heavy and prolonged and that she had to change her sanitary napkins at least five times a day. Based on the assumption that each sanitary pad can absorb 20ml of fluid, it means that the woman could have lost as much as 700ml of blood during her period, which generally lasts a week,” Lin said.
Lin said that the woman was diagnosed with adenomyosis and that the condition had caused severe anemia and breathing difficulties.
She was advised to undergo a hysterectomy, but she flatly rejected the idea and insisted on using medicine to assuage her symptoms, Lin said.
Last month, the woman was rushed to the hospital’s emergency unit after going into a shock and losing consciousness due to heavy menstrual bleeding.
Lin said a series of tests found that her anemia had worsened and that her heart had became dilated and she was on the verge of cardiac failure.
Her symptoms only improved after Lin placed an intrauterine system — a hormonal contraceptive inserted into the uterus — that helped thin her endometrial lining and decrease her menstrual blood loss.
“The condition affects about 17 percent of women in Taiwan,” Lin said.
Some sufferers have passed out in MRT trains or fallen down stairs, Lin said, urging women to increase their iron intake and undergo regular examinations to prevent from suffering the same experience as the patient.
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