Understanding Heavy Menstrual Bleeding: Causes, Symptoms, and When to Seek Help

Experiencing heavy periods that disrupt your daily life? You’re not alone! Heavy menstrual bleeding can be caused by hormonal imbalances, fibroids, endometriosis, or other underlying conditions. In this blog, we break down the causes, symptoms, and when to seek medical help. Learn how Garden OB/GYN can provide expert care to help you manage your cycle and improve your well-being.

Menstruation is a natural part of life, but when your period becomes excessively heavy, it can impact your quality of life. If you find yourself frequently changing pads or tampons, experiencing large blood clots, or struggling with fatigue due to blood loss, you may be dealing with heavy menstrual bleeding (also known as menorrhagia).

We understand how disruptive heavy periods can be and are here to help you find the right treatment. In this guide, we’ll cover the causes, symptoms, and when you should seek medical attention.

What Causes Heavy Menstrual Bleeding?

Several factors can contribute to abnormally heavy periods, including:

• Hormonal Imbalance – When estrogen and progesterone levels are out of sync, the uterine lining can become too thick, leading to heavy bleeding.
• Pelvic Inflammatory Disease (PID) – This bacterial infection can cause inflammation in the reproductive organs, affecting your menstrual cycle.
• Bleeding Disorders – Conditions like Von Willebrand disease or low platelet count can prevent proper blood clotting, leading to prolonged or excessive menstrual bleeding.
• Ovary Dysfunction – If the ovaries fail to release an egg (anovulation), hormone imbalances can lead to irregular and heavy periods.
• Uterine Fibroids & Polyps – These noncancerous growths in the uterus can contribute to excessive menstrual flow.
• Endometriosis – This condition causes uterine-like tissue to grow outside the uterus, leading to painful, heavy periods.
• Medications – Certain medications, such as blood thinners and aspirin, can increase bleeding.

When Should You See a Doctor for Heavy Menstrual Bleeding?

If your period is interfering with your daily life, it’s time to consult an OB/GYN. You should schedule an evaluation if you experience:

• Bleeding lasting more than seven days
• Blood clots larger than a quarter
• Needing to change tampons or pads every hour for several hours
• Waking up at night to change protection

Additionally, seek medical attention immediately if you experience:

• Pelvic pain or pressure
• Tissue protruding from your vagina
• Difficulty with bowel movements or urination
• Bladder leakage

Treatment Options for Heavy Menstrual Bleeding

Depending on the cause of your heavy periods, your provider may recommend:

• Hormonal Therapy – Birth control pills, IUDs, or hormone therapy can regulate and lighten periods.
• Medications – Tranexamic acid or non-hormonal treatments can reduce excessive bleeding.
• Minimally Invasive Procedures – If fibroids or polyps are present, your doctor may recommend hysteroscopy, endometrial ablation, or myomectomy.
• Lifestyle Changes – Dietary adjustments, iron supplements, and exercise can help manage symptoms.

Our team at Garden OB/GYN is here to help you find the right solution.

If you’re experiencing heavy menstrual bleeding, don’t suffer in silence. Our expert OB/GYN specialists at Garden OB/GYN are dedicated to providing compassionate and comprehensive women’s healthcare.

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