Hi doctor Can i ask my sister is working in oman...

How to treat an increase in the amount or duration of menstruation

Pain medications, such as naproxen, can be used in a dose of 250 mg every 8 hours by mouth, during the menstrual period. Contraceptive drugs such as Natazia can also be used after excluding the presence of a infection in the uterus , and there are drugs that reduce bleeding immediately, such as peramin. In the cases of married women, an intervention can be made through dilatation and curettage. At the same time, samples can be taken to diagnose the cause of the problem in the uterus  such as fibroids

How to diagnose an increase in the amount or duration of menstruation

A clinical examination must be done by the obstetrician-gynecologist to search for the accompanying symptoms, signs and  complete blood picture should be done to exclude the presence of anemia due to frequent bloodshed and the normal level of hemoglobin is more than 12.5 and the normal range of platelets is from 250 thousand to 450 thousand, as well as the PT analysis should be done and its normal level is 14 and the thyroid gland hormones as TSH should be done and its normal level is  from 0.4 to 4 and T3 from 100 to 200 and T4 from 5 to 12 and should Performe liver and kidney function analyzes to rule out the presence of causes of the problem in the liver or kidneys. FSH and LH analyzes must be done. It may be necessary to perform ultrasonography on the abdomen and pelvis should be done to evaluate the uterus, fallopian tubes and ovaries

What are the reasons for increasing the amount or duration of menstruation

The cause may be bacterial or fungal infections in the reproductive system or urinary tract
Liver diseases
Ovarian cysts
Low thyroid activity
Increase of the hormone PROLACTIN
Non ovulation cycles
Fibroids in the uterus
Endometrial hyperplasia

What are the symptoms associating increasing the amount or duration of menstruation

Pelvic pain
Irregular menstrual cycle
Vaginal secretions in the case of a bacterial or fungal infection in the vagina
Increase hair in the body in case of ovarian cysts
Breast secretions and vision problems in the case of pituitary tumors
Facial swelling and general fatigue in case of hypothyroidism
Stress, nervousness, shaking hands, and weight loss in case of increased thyroid activity