Heavy menstrual periods

Overview

Heavy menstrual periods, also known as menorrhagia, involve abnormally heavy or prolonged menstrual bleeding that lasts longer than seven days or requires changing pads or tampons every hour. This condition can significantly impact daily activities and may indicate underlying health issues requiring medical evaluation.

Common Causes

Heavy menstrual periods can result from hormonal imbalances, particularly involving estrogen and progesterone levels that regulate your monthly cycle. Common lifestyle factors include stress, significant weight changes, and excessive exercise, which can all disrupt your body's natural hormone production. Certain medications, including blood thinners and some birth control methods, may also contribute to heavier flow. Additionally, conditions like thyroid disorders, polycystic ovary syndrome (PCOS), or uterine fibroids can affect the intensity and duration of your periods.

Severity Levels

Mild: You may notice slightly heavier flow than usual but can still manage daily activities with regular menstrual products. Periods might last a day or two longer than normal.

Moderate: You need to change pads or tampons more frequently than every 2-3 hours and may experience some disruption to your routine. You might need to use overnight products during the day or double up on protection.

Severe: You're changing pads or tampons every hour or more frequently, and bleeding significantly interferes with work, school, or daily activities. You may need to wake up at night to change protection or avoid certain activities entirely.

Medical Attention

Contact your healthcare provider if your periods consistently last longer than seven days, you need to change pads or tampons every hour for several consecutive hours, or your bleeding is so heavy it interferes with your daily activities. Seek immediate medical attention if you experience severe cramping, dizziness, fatigue, or pass blood clots larger than a quarter. It's also important to schedule an appointment if you notice sudden changes in your menstrual pattern or if heavy bleeding is accompanied by other concerning symptoms.

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