Why Are My Periods So Heavy? Heavy Menstrual Bleeding Causes

Heavy durations could outcome from a hormonal imbalance, IUD use or as a facet impact of treatment. In different instances, heavy menstrual bleeding might point out a severe medical concern.

Heavy durations, medically referred to as menorrhagia, imply having to vary your pad or tampon each one hour for not less than two successive hours. You might also expertise ache that makes it troublesome so that you can carry your routine actions.

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Your durations are could also be heavy because of the following causes:

  • Hormonal issues. Having a traditional 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 frequent 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 throughout 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 probably inflicting heavy durations as a facet impact.
  • Issues of being pregnant. Not often, the embryo attaches itself to locations exterior of the uterus. This situation known as an ectopic being pregnant, the place the infant can’t develop usually. This leads to heavier bleeding in periods. Miscarriage also can trigger heavy durations.
  • Most cancers of the reproductive system. Most cancers of the uterus, cervix or ovaries is another excuse why some ladies could get heavy durations. Nevertheless, this motive is uncommon as in comparison with different causes.
  • Bleeding problems. Much like most cancers, that is additionally a uncommon reason behind heavy durations. Bleeding problems 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, equivalent to warfarin or anti-inflammatory medicine, could trigger extreme bleeding in periods.
  • Different medical circumstances. Present kidney illness or liver illness may additionally be the reason for heavy durations.

What assessments 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 assessments or procedures:

  • Blood assessments. These assessments will have 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 photographs of your reproductive system.
  • Pap take a look at. This can be 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 entails taking a pattern of tissue from the within of the uterus and sending them to the laboratory to examine for most cancers.
  • Hysteroscopy. This process entails utilizing a skinny, lengthy versatile tube fitted with a lighted digicam to look contained in the uterus.

How do docs deal with heavy durations?

Medical doctors will ask about sure elements earlier than they resolve the proper remedy for you, equivalent to:

  • If you happen to undergo from another medical circumstances
  • How is your general 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 choice?

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


  • Nonsteroidal anti-inflammatory medicine (NSAIDs). NSAIDs, equivalent to ibuprofen or naproxen, will help cut back your extra bleeding in periods and alleviate ache.
  • Tranexamic acid. This can be a frequent 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), equivalent to Liletta and Mirena, launch a sort of progestin known as levonorgestrel, which helps management menorrhagia.

Surgical procedure

Myomectomy. This process removes fibroids.

Uterine artery embolization. This entails slicing the blood provide of the fibroid by blocking the arteries that offer the blood. This surgical procedure helps shrink the fibroid and helps carry heavy durations below management.

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

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

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

Hysterectomy. This can be a main surgical procedure that entails 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.


What’s pelvic inflammatory illness (PID)?
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Medically Reviewed on 8/17/2021


Shaw JA. Menorrhagia. Medscape.

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