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PCOS, Endometriosis & Gynecologic Health • ICD-10-CM N92.0

Heavy menstrual bleeding (menorrhagia)

Also known as: Menorrhagia

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM N92.0 • 5 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Heavy menstrual bleeding (menorrhagia) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Heavy menstrual bleeding (menorrhagia)?

Heavy menstrual bleeding (menorrhagia) (also termed Menorrhagia)—coded clinically as N92.0 across OB/GYN & PCOS guidelines—combines transvaginal pelvic ultrasonography [Heavy menstrual bleeding (menorrhagia) N92.0] with structured follow-up of CBC & Serum in Heavy menstrual bleeding (menorrhagia) (N92.0: Ferritin (heavy bleeding)) (Ferritin > 50 ng/mL (N92.0)).

Pathophysiology, Underlying Causes & Clinical Presentation

In Heavy menstrual bleeding (menorrhagia) (N92.0), physiological disruption stems from or benign leiomyoma in Heavy menstrual bleeding (menorrhagia) (N92.0: smooth-muscle proliferation), informing PCOS, Endometriosis & Gynecologic Health protocols that track CBC & Serum in Heavy menstrual bleeding (menorrhagia) (N92.0: Ferritin (heavy bleeding)) (Ferritin > 50 ng/mL (N92.0)).

Common Symptoms & Clinical Signs

  • • Presentation of Heavy menstrual bleeding (menorrhagia) (N92.0): severe pelvic cramping [Heavy menstrual bleeding (menorrhagia) N92.0]
  • • Secondary Heavy menstrual bleeding (menorrhagia) clinical sign: hyperandrogenic acne along in Heavy menstrual bleeding (menorrhagia) (N92.0: the jawline, hirsutism,)
  • • Symptom flares in Heavy menstrual bleeding (menorrhagia) correlating with Fasting Insulin & in Heavy menstrual bleeding (menorrhagia) (N92.0: HbA1c) deviation outside Fasting insulin < 8 uIU/mL (N92.0)
  • • Functional ob/gyn & pcos impact requiring transvaginal pelvic ultrasonography [Heavy menstrual bleeding (menorrhagia) N92.0] evaluation (N92.0)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Heavy menstrual bleeding (menorrhagia) Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code N92.0 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub PCOS, Endometriosis & Gynecologic Health NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Fasting Insulin & in Heavy menstrual bleeding (menorrhagia) (N92.0: HbA1c) Fasting insulin < 8 uIU/mL (N92.0) Clinical Reference Target Range
Diagnostic / Lab Marker: CBC & Serum in Heavy menstrual bleeding (menorrhagia) (N92.0: Ferritin (heavy bleeding)) Ferritin > 50 ng/mL (N92.0) Clinical Reference Target Range
Diagnostic / Lab Marker: LH, FSH & in Heavy menstrual bleeding (menorrhagia) (N92.0: Prolactin) Normal ovulatory endocrine axis (N92.0) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Heavy menstrual bleeding (menorrhagia)

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Elagolix and Estradiol and Norethisterone Oriahnn • RxCUI 2371764 FDA Prescription Therapeutic Agent 85% $20.7696 $ 185.00 /mo
Menstrual Relief (Acetaminophen, Caffeine, Pyrilamine Maleate) Menstrual Relief • RxCUI 1597298-B21130930 Central Nervous System Stimulant 92% $0.0194 $ 9.90 /mo
Menstrual Bloat Relief (Pamabrom) Menstrual Bloat Relief • RxCUI 199158 Over-the-Counter Clinical Monograph 86% $3.2300 $ 241.06 /mo
Tranexamic Acid Cyklokapron, Lysteda • RxCUI 883826 Antifibrinolytic Agent 75% $0.8295 $ 15.35 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Heavy menstrual bleeding (menorrhagia))

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Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Two levonorgestrel-releasing intrauterine systems for the treatment of heavy: What a 300-Participant Study Found

Donasert ® has equivalent real-world benefits and safety during the first 6 months foralleviation of HMB compared to the reference device, Mirena ®.

The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception • 2021-12-15 • Phase III Randomized Trial
N = 300 87/100 PMID 34180315 ↗
Can This Approach Help? Inside the Latest Research on Paclitaxel as HIPEC-Drug after Surgical Cytoreduction for Ovarian Peritoneal

The Clavien-Dindo classification of adverse event grades revealed no significant differences between HIPEC and controls ( p = 0.482).

Current oncology (Toronto, Ont.) • 2024-01-24 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 38392042 ↗
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