
Why Are My Periods So Heavy?

Heavy periods, or menorrhagia, affect many women. If you’re one of them, you can attest to the significant impact on daily life, from work to family responsibilities. While you may assume your heavy periods are normal, they could be a sign of an underlying condition that warrants attention.
At Nile Women’s Health Care in Johns Creek and Roswell, Georgia, we specialize in helping women understand and manage their health concerns, including heavy periods.
If you’ve found yourself doubling up on pads or needing frequent tampon changes, it might be time to explore why your periods are so heavy. Here, we walk you through some common causes of heavy periods and potential solutions.
What defines heavy menstrual bleeding?
Before we address causes, let’s talk about what constitutes heavy menstrual bleeding. We diagnose menorrhagia if and when you have one or more of the following:
- Bleeding that lasts more than seven days
- You need to change pads or tampons every one to two hours
- You pass clots larger than a quarter in size
- Work, exercise, or social outings become challenging during menstruation
- You experience fatigue, shortness of breath, or other signs of anemia during your period
If you experience any of these symptoms, call us.
Causes of heavy periods
Heavy periods stem from a variety of factors — here are some of the most common causes:
Hormonal imbalances
Estrogen and progesterone regulate your uterine lining. When these hormones are imbalanced, your uterine lining thickens, leading to heavier periods.
Conditions like polycystic ovary syndrome (PCOS) or hypothyroidism often contribute to these irregularities.
Uterine abnormalities
You can experience heavy periods if you have structural issues in your uterus, such as:
- Fibroids: Noncancerous growths in the uterus
- Polyps: Small, benign growths within the uterine lining
- Adenomyosis: A condition where the uterine lining grows into the uterine wall
Our specialists can identify uterine abnormalities and offer treatments to resolve the issue.
Endometriosis
Endometriosis occurs when tissue similar to your uterine lining grows outside your uterus. In addition to heavy and often painful periods, endometriosis can cause pelvic discomfort and sometimes fertility issues.
Bleeding disorders
Your heavy periods may indicate an underlying bleeding disorder, such as von Willebrand Disease. This rare condition makes it harder for your body to clot blood, leading to excessive menstrual flow.
Medications
Certain medications, such as blood thinners or hormone-based treatments, may contribute to heavier menstrual bleeding. Additionally, non-hormonal intrauterine devices (IUDs) often cause heavy periods as a side effect.
Pregnancy complications
Heavy bleeding could indicate a complication during pregnancy, such as a miscarriage or ectopic pregnancy. If you have a high-risk pregnancy and have heavy bleeding, seek immediate medical attention.
Cancer
Though rare, uterine or cervical cancers can cause abnormal menstrual bleeding. An abnormal Pap test or heavy bleeding should prompt further evaluation with a healthcare provider.
Solutions for heavy periods
The good news is that heavy menstrual bleeding is treatable. At Nile Women’s Health Care, we offer various options tailored to both your symptoms and underlying causes.
Medications
We start with noninvasive treatments, including:
- Hormonal therapies like birth control pills, vaginal rings, or IUDs to regulate flow
- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, to reduce bleeding
- Tranexamic acid, a medication that promotes clotting to reduce excessive bleeding
- Iron supplements to address any anemia associated with heavy bleeding
Often, these simple fixes are all it takes to get relief.
Minimally invasive procedures
If medications don’t work, we have minimally invasive procedures that may help. For example:
- Endometrial ablation to remove or destroy the uterine lining
- Myomectomy to remove fibroids while preserving the uterus
- Hysteroscopy for diagnosing and removing polyps or managing structural issues
With these routine treatments, we can resolve your heavy periods quickly and easily.
Advanced surgical options
For more severe cases, surgical solutions may be necessary.
For example, if you’re done having children and your condition doesn’t respond to more conservative treatments, we may recommend a hysterectomy to remove your uterus.
In our on-site surgery suites, we perform robotic-assisted surgeries to provide precision in complex gynecological cases, minimizing your recovery time and discomfort.
If heavy periods are disrupting life, don’t wait any longer. Call Nile Women’s Health Care, or book an appointment online.
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