Why Are My Periods So Heavy? Heavy Menstrual Bleeding Causes

periods heavy bleeding

Heavy durations could end result from a hormonal imbalance, IUD use or as a aspect impact of treatment. In different circumstances, heavy menstrual bleeding may point out a critical medical concern.

Heavy durations, medically generally known as menorrhagia, imply having to vary your pad or tampon each one hour for no less than two successive hours. You might also expertise ache that makes it tough so that you can carry your routine actions.

Your durations are could also be heavy as a result of following causes:

  • Hormonal issues. Having a standard menstrual cycle requires the balancing of two hormones, estrogen and progesterone, which is what causes you to shed the liner of your uterus (endometrium) in your menses. When this stability is disturbed, there could also be heavy shedding and bleeding. The widespread causes of hormone issues are polycystic ovary syndrome (PCOS), thyroid issues and weight problems.
  • Growths within the uterus. Polyps are small, benign (noncancerous) growths on the liner of the uterus. Fibroids are small-to-large benign tumors that develop inside the uterus. Each of those can lead to heavy or extended durations.
  • Nonhormonal IUDs. Intrauterine units or IUDs are units that girls use for contraception. They are often both hormonal or nonhormonal, with the latter doubtlessly inflicting heavy durations as a aspect impact.
  • Problems of being pregnant. Hardly ever, the embryo attaches itself to locations exterior of the uterus. This situation known as an ectopic being pregnant, the place the newborn can not develop usually. This leads to heavier bleeding during times. Miscarriage may also trigger heavy durations.
  • Most cancers of the reproductive system. Most cancers of the uterus, cervix or ovaries is another excuse why some girls could get heavy durations. Nevertheless, this purpose is uncommon as in comparison with different causes.
  • Bleeding issues. Much like most cancers, that is additionally a uncommon reason behind heavy durations. Bleeding issues which might be handed down in your loved ones throughout generations could make you bleed heavier than normal throughout accidents in addition to durations.
  • Sure drugs. Blood thinners, akin to warfarin or anti-inflammatory medicine, could trigger extreme bleeding during times.
  • Different medical situations. Present kidney illness or liver illness can also be the reason for heavy durations.

What exams assist docs know the reason for your heavy durations?

After reviewing your medical historical past and asking about your menstrual cycles, your physician could advocate a number of of the next exams or procedures:

  • Blood exams. These exams will take a look at the hemoglobin and iron ranges (for iron-deficiency anemia) and thyroid hormone ranges.
  • Ultrasound. That is an imaging take a look at that makes use of sound waves to provide photos of your reproductive system.
  • Pap take a look at. It is a small process through which your physician takes a small pattern of your cervix and sends them to the laboratory for evaluation.
  • Endometrial biopsy. This includes taking a pattern of tissue from the within of the uterus and sending them to the laboratory to test for most cancers.
  • Hysteroscopy. This process includes utilizing a skinny, lengthy versatile tube fitted with a lighted digicam to look contained in the uterus.

How do docs deal with heavy durations?

Docs will ask about sure components earlier than they determine the correct remedy for you, akin to:

  • When you undergo from another medical situations
  • How is your total well being?
  • What’s the situation inflicting your heavy durations?
  • How extreme is your situation?
  • Whether or not you wish to have a toddler and if sure, how quickly?
  • What’s your private desire?

Primarily based on these components, your physician could advocate drugs or surgical procedure as remedy.


  • Nonsteroidal anti-inflammatory medicine (NSAIDs). NSAIDs, akin to ibuprofen or naproxen, will help cut back your extra bleeding during times and alleviate ache.
  • Tranexamic acid. It is a widespread drug that’s prescribed to quickly management heavy durations.
  • Oral contraceptives. Oral contraceptives additionally assist regulate the menstrual cycles and thus assist alleviate menstrual blood loss.
  • Oral progesterone. The hormone progesterone is efficient at correcting hormone imbalance, which helps alleviate heavy durations.
  • Hormonal IUD. Hormonal intrauterine units (IUDs), akin to Liletta and Mirena, launch a kind of progestin known as levonorgestrel, which helps management menorrhagia.

Surgical procedure

Myomectomy. This process removes fibroids.

Uterine artery embolization. This includes chopping the blood provide of the fibroid by blocking the arteries that provide the blood. This surgical procedure helps shrink the fibroid and helps deliver heavy durations beneath management.

Targeted ultrasound surgical procedure. This includes utilizing ultrasound waves to destroy the fibroids.

Dilatation and curettage (D & C). This surgical procedure includes eradicating the liner of the uterus.

Endometrial ablation and resection. These procedures completely take away or destroy the liner of the uterus. This may increasingly trigger your durations to grow to be lighter or cease completely.

Hysterectomy. It is a main surgical procedure that includes the removing of the uterus with or with out the ovaries. You might cease getting your durations and would by no means be capable of get pregnant.


Pelvic Ache: What’s Inflicting Your Pelvic Ache?
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Medically Reviewed on 8/17/2021


Shaw JA. Menorrhagia. Medscape. https://emedicine.medscape.com/article/255540-overview

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