Why You Should Never Ignore Heavy Periods

Menstrual bleeding that lasts longer than seven days or occurs with a very heavy flow is called menorrhagia. This relatively common condition affects over 10 million women in the United States every year. While about 50% of women experience heavy menstrual bleeding without a specific medical cause, it can indicate a serious problem for some.

If your flow produces so much blood that it requires changing your pad or tampon hourly for several hours in a row, you may have menorrhagia. Other signs of the condition include passing blood clots the size of a quarter or larger during your flow, having to wake up to change your pad or tampon at night, and constant cramps during your period. You should seek medical help if you experience any of these symptoms. 

Shaurin Patel, MD, here at ObGyn Care of Oklahoma in Oklahoma City, specializes in the diagnosis and treatment of heavy menstrual bleeding. Dr.Patel can provide treatment to relieve your symptoms and if necessary, treat any underlying conditions. 

Heavy periods can interfere with your physical, social, and emotional well-being. Losing more than the normal amount of blood every month can cause anemia, which can make you feel weak and fatigued. Delaying appropriate diagnosis and treatment can also put you at risk for complications from several types of conditions that cause heavy periods. 

We describe some of the causes of heavy periods below.

Hormonal imbalances

Every month, your uterine tissue, called the endometrium, builds up and then sheds during your period. Estrogen controls cell growth and makes your endometrium thicker while progesterone regulates how often the cells shed and makes the endometrium thinner. The delicate balance of estrogen and progesterone can be disrupted by conditions such as polycystic ovary syndrome (PCOS), insulin resistance, obesity, thyroid problems, and menopause

An imbalance of estrogen and progesterone can result in endometrial hyperplasia. Too much estrogen makes the uterine lining too thick, resulting in a heavier-than-normal flow.

Uterine conditions

Fibroids are noncancerous, muscular tumors that grow inside the uterus, on the uterine wall, or its outer surface. These tumors can cause heavy periods and other complications such as infertility or repeated miscarriages because they can alter the structure of your uterus. 

Endometriosis occurs when uterine tissue grows outside your uterus. This results in deposits of uterine tissue in areas such as your ovaries, fallopian tubes, bowel, rectum, or bladder. Endometriosis can also contribute to heavy periods.

Adenomyosis is a condition in which the endometrial tissue, which lines the uterus, breaks through into the outer, muscular walls of the uterus. The uterine tissue continues to thicken, break down, and bleed with each menstrual cycle, resulting in heavy bleeding and pain during your menstrual cycle. 

Disorders and diseases

Heavy periods can be a warning sign of cancer of the uterus, fallopian tubes, or ovaries. Diseases of the liver, kidney, or thyroid can also cause heavy periods. Investigating the source of your heavy periods gives Dr. Patel the opportunity to catch these diseases at the earliest possible stages, improving your chances for better treatment results.

Heavy periods also occur as a symptom of hereditary blood-clotting disorders, such as hemophilia or von Willebrand disease. Both conditions involve a deficiency or lack of an important blood-clotting factor and can have serious outcomes without treatment.  

You can also experience a heavy period as the result of issues related to pregnancy such as miscarriage or ectopic pregnancy. Ectopic pregnancy requires immediate medical care to avoid life-threatening complications. 

Medication and birth control

Heavy periods can occur as a side effect from certain classes of prescribed medications, including blood thinners (anticoagulants), anti-inflammatory medications, aspirin, and hormonal medications.

You may also experience heavy periods as a side effect of copper intrauterine devices (IUDs). While bleeding after the first 3-6 months of IUD insertion is common, repeated heavy periods may require that you select another birth control option. 

Don’t delay in coming in to see us about your heavy periods. You can improve your quality of life with an accurate diagnosis and plan for treatment. Schedule an appointment online or call one of our Oklahoma City offices today.

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