Very heavy menstrual bleeding
Overview
Very heavy menstrual bleeding, also known as menorrhagia, is a condition where women experience abnormally heavy or prolonged menstrual flow that interferes with daily activities. This symptom typically involves soaking through a pad or tampon every hour for several consecutive hours or bleeding for more than seven days.
Common Causes
Heavy menstrual bleeding 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 contraceptives, may also contribute to heavier flow. Additionally, underlying conditions like thyroid disorders, polycystic ovary syndrome (PCOS), or uterine fibroids can cause changes in bleeding patterns.
Severity Levels
Mild: You may notice your periods are heavier than usual but can still manage daily activities with regular pad or tampon changes. The bleeding might last slightly longer than your typical cycle but doesn't significantly disrupt your routine.
Moderate: Your menstrual flow requires frequent changes of protection throughout the day and may interfere with some activities like exercise or work. You might experience some fatigue and need to plan around your period more carefully.
Severe: Your bleeding is so heavy that it severely limits your daily activities and requires constant attention to protection. You may feel weak, dizzy, or exhausted, and the flow significantly impacts your ability to work, sleep, or participate in normal activities.
Medical Attention
You should seek medical attention if your heavy bleeding continues for more than seven days, if you're soaking through a pad or tampon every hour for several hours in a row, or if the bleeding is significantly affecting your daily activities. Contact your healthcare provider immediately if you experience severe cramping, dizziness, fatigue, or any signs of anemia such as shortness of breath or pale skin. It's also important to get medical help if this represents a sudden change in your normal menstrual pattern.
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