The traditional definition of menorrhagia is a menstrual blood loss of more than 80 mL per cycle. This definition has been questioned for several reasons, including difficulty with quantifying menstrual blood loss in clinical practice. Many women are with "heavy menses" but who experience blood loss of less than 80 mL merit consideration for treatment because of problems with containment of flow, unpredictable heavy flow days, and other associated symptoms such as dysmenorrhea.16, 7

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