Menorrhagia: Why Is My Period So Heavy?

Menorrhagia is the medical term used to describe unusually heavy or prolonged menstrual bleeding. It affects around 1 in 20 women. Several factors can lead to menorrhagia, including:

1. Hormonal imbalances:

- Polycystic ovary syndrome (PCOS): hormonal disorder causing irregular periods and other symptoms.

- Endometriosis: tissue that typically lines the uterus grows outside it.

- Thyroid issues: thyroid hormones can affect menstrual cycle.

- Perimenopause: hormonal changes before menopause can disrupt menstrual patterns.

2. Uterine conditions:

- Uterine Fibroids: non-cancerous growths in the uterus.

- Adenomyosis: uterine lining grows into the muscle of the uterus.

- Uterine polyps: small, non-cancerous growths on the lining of the uterus.

- Endometrial cancer: cancer of the lining of the uterus.

3. Infections or inflammatory diseases:

- Sexually transmitted infections (STIs) like chlamydia, gonorrhea, etc.

- Pelvic inflammatory disease (PID): infection of the reproductive organs.

4. Bleeding disorders:

- Von Willebrand disease: inherited blood clotting disorder.

- Platelet disorders: affect the body's ability to form clots.

5. Medications:

- Some anticoagulant and hormone therapy medications.

6. Genetic factors:

- Some genetic disorders, such as von Willebrand disease.

7. Pregnancy complications:

- Miscarriage, ectopic pregnancy, or placental issues can cause heavy bleeding.

8. Stress and lifestyle:

- High levels of physical or emotional stress.

- Obesity or significant weight changes can affect menstrual patterns.

9. Certain medical procedures:

- Endometrial ablation or polypectomy may result in initial heavy bleeding.

If you experience excessively heavy or prolonged periods impacting your daily life, it's important to consult a healthcare provider for evaluation and proper management. They can perform a physical exam, review your symptoms and medical history, and order necessary tests (e.g., blood tests, imaging studies) to identify the underlying cause and determine appropriate treatment options.

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