You're experiencing heavy menstrual bleeding, also known as menorrhagia. This means your blood flow and cramping are significantly impacting your daily activities. It's not uncommon, affecting many women, and several factors can contribute.
Causes of Heavy Menstrual Bleeding:
Several issues can lead to heavy periods. These include:
- Hormone imbalances: Estrogen and progesterone, crucial for regulating your menstrual cycle, can be out of balance, resulting in heavier bleeding. [Source: Cleveland Clinic]
- Uterine problems: Fibroids (noncancerous growths in the uterus) and polyps (small growths on the uterine lining) are common culprits. [Source: Mayo Clinic]
- Other health conditions: Certain conditions like bleeding disorders (coagulopathies), which affect blood clotting, can also cause heavy bleeding. [Source: Medical News Today] Up to 20% of people with unusually heavy periods have a bleeding disorder.
- Underlying medical conditions: Conditions such as uterine cancer, although less common, need to be ruled out. [Sources: Various medical websites]
Diagnosing Heavy Menstrual Bleeding:
A healthcare professional will likely perform several tests to determine the cause:
- Pelvic exam: A physical examination to assess the uterus and surrounding areas.
- Ultrasound: An imaging test to visualize the uterus and detect fibroids or polyps.
- Pap test: A screening test for cervical cancer.
- Biopsy: A tissue sample may be needed to test for any underlying conditions such as cancer. [Source: Mayo Clinic]
When to Seek Medical Attention:
If you are soaking through a tampon or pad every hour or two, experiencing severe cramping that disrupts your daily life, or suspect other underlying issues, it's crucial to consult a doctor. Delaying treatment can lead to anemia (iron deficiency) due to significant blood loss. [Source: NHS Inform]
Important Considerations:
- Record Keeping: Tracking the duration and heaviness of your periods can be invaluable for diagnosis.
- Female Healthcare Professional: You can request a female doctor or health professional if you feel more comfortable. [Source: NHS Inform]
