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Home: Heavy Period

A Heavy Period......Do You Have These Signs?

Do you have heavy menstrual bleeding? Here is how you know.

The typical, "normal" period lasts about 5-7 days. Heavy periods can have the following symptoms:

  • Periods that cause you embarrassment

  • Severe cramping or pain

  • Bleeding that soaks through a pad or tampon every hour

  • Bleeding longer than 7 days

  • Menstrual bleeding that includes large blood clots

  • Periods that interfere with your lifestyle

What Causes Heavy Bleeding?

There are many things that cause excessive menstruation.

  • Fibroids
  • Extremely common, in fact 40% of women have them. If they grow to a large size, fibroids can cause heavy bleeding, pelvic pain, and pressure sensations. Uterine fibroids further discussed here.

  • Endometriosis
  • Characterized by excessive bleeding, painful periods, painful bowel movements, and painful intercourse. Endometriosis discussed in depth here.

  • Polyps
  • Small growths inside the uterus. Almost always benign.

  • Hormonal Imbalance
  • More common in perimenopausal women. Also seen in PCOS (polycystic ovaries)

  • Obesity
  • Being overweight can significantly increase your risk for heavy bleeding.

  • Precancerous and Cancerous Lesions
  • Your doctor must always make sure to rule out cancer. Postmenopausal bleeding may be a sign of endometrial cancer.

    How Do You Treat Heavy Bleeding?

    More treatments are available today than ever. The treatments listed below go from easiest to most aggressive:

  • Oral Medication
  • This can be in the form of birth control pills or an oral progesterone.

  • Mirena IUD
  • Occasionally can be used to help control very heavy bleeding. Most commonly used a contraception.

  • Endometrial Ablation
  • I feel this is a fantastic way to control heavy bleeding with very little risk. Refer here. You must be done with childbearing though. And there are other considerations as well.

  • D&C
  • This is a outpatient surgery which scraps out the lining of the uterus(the endometrium) that causes the heavy bleeding.

  • Hysterectomy
  • Removing the uterus is the most aggressive option. There are multiple ways to perform a hysterectomy including laparoscopically, vaginally, and abdominally.

    I will be discussing all types of hysterectomies here.

    Please talk to your doctor if you feel you need help with your heavy menstrual bleeding.

    As always, if I can be of service to you, feel free to call my office for an appointment.

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