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Heavy menstrual bleeding

Heavy Menstrual Bleeding Causes and Signs

Women with benign hefty menstrual bleeding have the option of plenty of medical treatment choices to lessen their blood loss and improve quality of life. The clinician role is to provide information to facilitate women in making an appropriate choice. Miserably, many options can be associated with hormonal side effects, prevention of fertility and lack of efficiency, leading to discontinuation and progression to surgical interventions. In some cases where the bleeding has been hefty and prolonged, it can lead to other worrying symptoms of massive volume blog loss such as shortness of breath, fatigue and palpitations.

Many menorrhagias sufferers are trying to manage and control their symptoms as the best they can with vitamin and iron supplements, or try one of the many different drug treatments that are available to reduce the bleeding. For example, nonsteroidal anti-inflammatories, oral contraceptives, progestin, GnRH agonist, a Mirena coil and Danazol. Some of the women may seek procedures like endometrial ablation or even more severe steps such as Hysterectomy.

Causes of Heavy bleeding

  • Uterine related problems: Many issues fall under this, such as:
      • Growths or tumours on the uterus called fibroids or polyps
      • Uterus cancer or cervix
      • Certain birth control types like an intrauterine device
      • Problems related to pregnancy
  • Hormone-related problems
  • Illnesses or disorders
    • Bleeding related disorders or platelet function disorder
    • Nonbleeding associated disorders such as liver, kidney, or thyroid disease, pelvic inflammatory disease and cancer.
  • In addition to the above specific drugs like aspirin will also cause heavy bleeding. Doctors were not able to identify the cause of the heavy bleeding in half of all women who have this issue. If your gynaecologist has not found the cause of heavy bleeding during your routine visit, then it will be useful to get tested for a bleeding disorder.  


If you are facing the problem of menorrhagia, then these are the signs that you need to check:

  • During the menstrual flow, the number of pads soaked in every hour or several hours in a row.
  • Required to double up on pads to regulate your menstrual flow.
  • Required to change pads or tampons during the night.
  • Menstrual periods are lasting more than seven days.
  • Blood clots during menstrual flow in the size of a quarter or more significant.
  • Oppressive menstrual flow that keeps you from doing the things you would typically do.
  • Continual pain in the lower stomach during your periods.
  • Are weak, energy lack, or breath short.


Heavy bleeding(Menorrhagia) is the most common issues women reporting to their doctors. It affects more than 10 million American women each year. 

Are you facing the menorrhagia? Consult our gynaecologist, Mrs Sarah Hussain one of the top leading consultant gynaecologist at London. Contact us for an appointment.