Discussing OBGYN Care

Abnormally Heavy Menstrual Bleeding: Get The Facts

If you've noticed a heavier than usual period, it may be cause for concern. Heavy menstrual bleeding can usually be diagnosed if you're noticing the need to change sanitary napkins or tampons more frequently than usual or if you begin to notice blood clots that are larger than an inch in diameter. If you're concerned about your menstrual cycle, it could be time to visit your gynecologist so they can help determine the cause.

Possible Causes

One of the most common reasons for heavy menstrual bleeding is the onset of menopause. As your hormones change, your body will produce a heavier than usual cycle. If you're of age and are possibly approaching menopause, it may not be a serious concern. It's still recommended that you talk to your doctor if you're feeling dizzy or fatigued during your menstrual cycle due to heavy bleeding. Other causes may include endometriosis, an underactive thyroid, pelvic floor prolapse (this happens when the pelvic muscles are weakened or collapsed), or even something as serious as endometrial cancer. 

Bleeding During Pregnancy

You may experience some vaginal bleeding during pregnancy, which may seem abnormal but often is not. As the fertilized egg becomes implanted in the uterine wall, it can cause bleeding even though you know you're pregnant. This happens more often with women who are carrying twins, but it is quite common in a large population of pregnant women. However, if the bleeding you experience is heavier than expected during this time, seek advice from your OBGYN. Sometimes pregnant women who are coping with heavy bleeding could be at risk for a miscarriage or may be forced into early labor. Always talk to your doctor if you're concerned so they can help determine what the cause is as soon as possible.


Depending on the cause of your situation, your doctor could prescribe hormonal treatments to help regulate your cycle and return it back to normal. If uterine polyps are detected, there could be the possibility of surgery to have them removed so your cycle can be restored. For women who are approaching menopause, your OBGYN may recommend some treatments, but in most cases, the symptoms should subside after a few cycles. If you are dealing with an infection, antibiotics may be prescribed to help fight the infection and return your cycle to its normal function. If you're concerned about a heavy menstrual cycle, be sure to speak to your OBGYN as soon as possible to determine the cause and get you back on track with the right treatments. 

For more information, contact Women's Health Associate - Gilbert A Shamas MD or a similar medical professional.