Understanding Heavy Periods-Causes, Symptoms, and Treatment

Heavy periods are defined as excessive menstrual bleeding that lasts longer than seven days or involves passing large clots (bigger than a quarter) and requiring frequent pad or tampon changes (every 1-2 hours). This can significantly impact your daily life, causing physical discomfort, emotional distress, and even social limitations.

Multiple factors can contribute to heavy menstrual bleeding, including:

• Hormonal imbalances: Estrogen and progesterone play a crucial role in regulating the menstrual cycle. Imbalances in these hormones can lead to excessive uterine lining growth, resulting in heavier bleeding.

• Uterine fibroids: Non-cancerous growths in the uterine wall can cause heavy and prolonged periods.

• Endometriosis: When tissue similar to the uterine lining grows outside the uterus, it can bleed during menstruation, potentially leading to heavy periods.

• Adenomyosis: This condition involves the endometrial lining thickening within the uterine muscle, causing severe pain and heavy bleeding.

• Intrauterine device (IUD): Some types of IUDs can cause heavier periods initially, although this usually subsides after a few months.

• Pelvic inflammatory disease (PID): An infection of the reproductive organs can sometimes lead to heavy bleeding.

• Other medical conditions: Certain blood disorders, thyroid problems, and even cancer can manifest as heavy periods.

Beyond the heavy bleeding itself, several signs might indicate you’re experiencing a heavy period:

• Passing blood clots larger than a quarter
• Needing to change pads or tampons every 1-2 hours
• Experiencing fatigue or dizziness due to blood loss
• Feeling abdominal pain or cramping that interferes with daily activities
• Having to limit physical activity or social interactions due to bleeding

If you’re experiencing heavy periods that disrupt your life, it’s essential to seek medical advice. Your doctor can help identify the underlying cause and recommend the most suitable treatment options.

Depending on the cause of your heavy periods, various treatment options are available:

• Hormonal therapy: Birth control pills, progesterone-only pills, or hormonal IUDs can regulate your cycle and reduce bleeding.

• Non-steroidal anti-inflammatory drugs (NSAIDs): Over-the-counter pain relievers like ibuprofen can help manage cramps and heavy bleeding.

• Tranexamic acid: This medication helps reduce blood flow and clotting during menstruation.

• Endometrial ablation: A minimally invasive procedure that destroys the lining of the uterus, reducing or eliminating heavy bleeding.

• Myomectomy: Surgical removal of fibroids if they’re causing significant problems.

• Hysterectomy: In severe cases, removal of the uterus might be considered as a last resort.

Remember: You’re not alone. Heavy periods are a common issue, and seeking professional help is crucial for managing them effectively and ensuring your well-being. For more information, contact us or request an appointment online. We have convenient locations to serve you in Columbia, MD & Greenbelt, MD. We serve patients from Columbia MD, Greenbelt MD, Ellicott City MD, Jessup MD, Savage MD, New Carrollton MD, College Park MD, Beltsville MD, Bowie MD, and surrounding areas.