Understanding menorrhagia: the significant effects of heavy periods on South African women

AS WE COMMEMORATE Women’s Month this August, it's essential to shed light on a pressing issue that affects millions of women in South Africa: heavy menstrual bleeding, known medically as menorrhagia.

- VUYILE MADWANTSI

This condition is often shrouded in silence, overshadowed by stigma and a lack of awareness, leaving many women to navigate their monthly ordeal in isolation.

What exactly is menorrhagia?

Menorrhagia is more than just heavy bleeding; it's a chronic condition where menstrual blood loss exceeds what is considered normal.

If you find yourself changing your pad or tampon every hour for several hours, experiencing periods that last longer than seven days, or passing blood clots the size of a quarter or larger multiple times a day, you might be dealing with menorrhagia.

For many women, this condition transforms menstruation from a routine monthly inconvenience into a debilitating experience that affects their quality of life.

A recent narrative review published in the Annals of Medicine & Surgery reveals that 10-30% of African women experience heavy menstrual bleeding. Despite ongoing public health initiatives aimed at reducing anaemia, more than 30% of women suffering from heavy menstrual bleeding also face iron deficiency, highlighting a serious and often invisible burden.

Heavy menstrual bleeding isn't just about the physical symptoms; it takes a toll on emotional well-being and social life. The fatigue, anxiety, and brain fog that accompany menorrhagia can interfere with daily activities, from attending work to enjoying social engagements.

The struggle is real, yet many women delay seeking help due to cultural stigma, low awareness, or financial constraints.