Periods and Heavy Bleeding

“Heavy menstrual bleeding affects
about one in five women and is a common problem
in the 30-50-year-old age group”.1

Umbrella
What may the Periods and Heavy Bleeding Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Dysfunctional Uterine Bleeding
  • Heavy Bleeding
  • Heavy Menstrual Bleeding
  • Heavy Periods
  • Heavy Uterine Bleeding
  • Menorrhagia

Heavy Menstrual Bleeding

What is heavy menstrual bleeding?

DotS the definition of heavy menstrual bleeding may vary. The (Australian) Jean Hailes for Women’s Health’s (JH) definition is:

“Heavy menstrual bleeding (also known as menorrhagia) is excessive and/or prolonged menstrual bleeding. The amount varies from woman to woman and can change at different stages in your life; for example, in teenage years or approaching menopause. It is defined as blood loss greater than 80ml (equal to one-third of a cup) per cycle, or periods lasting more than seven to eight days”.2

Menorrhagia

What is menorrhagia?

DotS the definition of menorrhagia may vary. The (United States) Mayo Clinic’s definition is:

“Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. Although heavy menstrual bleeding is a common concern, most women don’t experience blood loss severe enough to be defined as menorrhagia”.3

The (United States) Centers for Disease Control’s (CDC) definition is:

“Menorrhagia is menstrual bleeding that lasts more than 7 days. It can also be bleeding that is very heavy”.4

Heavy or Not

How heavy is heavy menstrual bleeding?

In Bleeding Disorders In Women: Heavy Menstrual Bleeding the CDC explain:

“How do you know if you have heavy bleeding? If you need to change your tampon or pad after less than 2 hours or you pass clots the size of a quarter or larger, that is heavy bleeding. If you have this type of bleeding, you should see a doctor”.5

In Heavy Bleeding: How Do You Know If Your Bleeding Is Too Heavy? the JH note:

“It is very difficult to determine whether your bleeding is too heavy. The best guide is to decide whether your period is having an impact on your quality of life – if it is causing you to be housebound, interrupting your daily activities, or causing you stress and anxiety. The following signs might indicate you are experiencing heavy bleeding:

  • Bleeding or ‘flooding’ not contained within a pad/tampon (especially when wearing the largest size)
  • Changing a pad/tampon every hour or less
  • Changing a pad overnight
  • Clots greater than a 50-cent piece in size
  • Bleeding for more than seven to eight days”.6

Cause

What causes heavy menstrual bleeding?

In Heavy Periods: Causes of Heavy Periods the (United Kingdom) NHS elaborate on:

“It can be normal to have heavy periods.

They can sometimes be heavy at different times, like when you first start your periods, after pregnancy or during menopause.

Sometimes, they can be caused by:

  • Conditions affecting your womb, ovaries or hormones, such as polycystic ovary syndrome, fibroids, endometriosis and pelvic inflammatory disease
  • Some medicines and treatments, including some anticoagulant medicines and chemotherapy medicines
  • Stress and depression

Rarely, heavy periods can be a sign of womb cancer”.7

In Menorrhagia (Heavy Menstrual Bleeding): Symptoms & Causes – Causes the Mayo Clinic elaborate on:

“In some cases, the cause of heavy menstrual bleeding is unknown, but a number of conditions may cause menorrhagia. Common causes include:

  • Hormone imbalance…
  • Dysfunction of the ovaries…
  • Uterine fibroids…
  • Polyps…
  • Adenomyosis…
  • Intrauterine device (IUD)…
  • Pregnancy complications…
  • Cancer…
  • Inherited bleeding disorders…
  • Medications…
  • Other medical conditions…”.8

Common or Not

How common is heavy menstrual bleeding?

According to the JH:

Periods and Heavy Bleeding
“Heavy menstrual bleeding affects about one in five women and is a common problem in the 30-50-year-old age group”.9

Perimenopause

Is there an association between perimenopause and heavy bleeding?

In Perimenopause: Symptoms & Causes – Complications the Mayo Clinic explain:

“Irregular periods are a hallmark of perimenopause. Most of the time this is normal and nothing to be concerned about. However, see your doctor if:

  • Bleeding is extremely heavy — you’re changing tampons or pads every hour or two for two or more hours
  • Bleeding lasts longer than seven days
  • Bleeding occurs between periods
  • Periods regularly occur less than 21 days apart.

Signs such as these may mean there’s a problem with your reproductive system that requires diagnosis and treatment”.10

Treatment

What are treatment options for heavy menstrual bleeding?

In Heavy Periods: Treatment the (British) Women’s Health Concern elaborate on:

“Treatment options depend on the type and duration of abnormal bleeding, the presence of specific disease or condition, your age, and desire for further pregnancies. Treatment can be medical or surgical”.11

In Bleeding Disorders In Women: Heavy Menstrual Bleeding: Treatment the CDC elaborate on different types of treatment and note:

“The type of treatment you get will depend on the cause of your bleeding and how serious it is. Your doctor also will look at things such as your age, general health, and medical history; how well you respond to certain medicines, procedures, or therapies; and your wants and needs”.12

Health Care Provider

What if I have heavy menstrual bleeding?

If you have heavy menstrual bleeding, it may be in your best interest to choose to talk to your health care provider about this. In Heavy Menstrual Bleeding (Menorrhagia): Living With – When Do You Call Your Healthcare Provider If You Suspect Heavy Period Bleeding? the (United States) Cleveland Clinic explain:

“You should call your provider if you’re experiencing the symptoms of heavy menstrual bleeding or anemia, or if your period bleeding has become abnormal. Tracking your periods using a calendar or app can help you identify if your periods are heavier and longer-lasting than usual. Share these notes with your provider.

You should also schedule an appointment if you notice that you’re having to double-up on menstrual products or if you’re skipping activities you enjoy because of heavy bleeding”.13

The Mayo Clinic also note:

“Seek medical help before your next scheduled exam if you experience:

  • Vaginal bleeding so heavy it soaks at least one pad or tampon an hour for more than two hours
  • Bleeding between periods or irregular vaginal bleeding
  • Any vaginal bleeding after menopause”.14

Health Topics A-Z

Where may I find Health Topics related to Periods and Heavy Bleeding?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

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Links

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  1. Abnormal Uterine Bleeding
  2. Abnormal Uterine Bleeding
  3. About the Menstrual Cycle
  4. About the Menstrual Cycle [Video]
  5. About the Menstrual Cycle: When To See Your Doctor
  6. Adenomyosis
  7. Adenomyosis and Heavy Bleeding
  8. Ask the Mayo Mom: Managing Heavy Menstrual Cycles and Demystifying Treatment Options
  9. Betteryouknow.org [Better You Know, United States]
  10. Bleeding Disorders
  11. Bleeding Disorders A-Z
  12. Bleeding Disorders In Women
  13. Bleeding Disorders In Women: Better You Know Campaign
    Periods and Heavy Bleeding
  14. Bleeding Disorders In Women: Do You Have Heavy Periods?
    Periods and Heavy Bleeding
  15. Bleeding Disorders In Women: Heavy Menstrual Bleeding
  16. Bleeding Disorders In Women: Heavy Menstrual Bleeding – Signs: Chart
  17. Bleeding Disorders In Women: What Are Bleeding Disorders In Women?
  18. Blood Clots During Menstruation: A Concern?
  19. Dilation and Curettage
  20. Dilation and Curettage (D&C)
  21. Dysmenorrhea: Painful Periods
  22. Endometrial Ablation
  23. Endometrial Ablation
  24. Endometrial Ablation
  25. Endometriosis
  26. Endometriosis
  27. Everything You Should Know About Menometrorrhagia
  28. Gynecologic Cancer Awareness Month [September, United States]
  29. Heavy Bleeding [+ Video]
  30. Heavy Menstrual Bleeding
  31. Heavy Menstrual Bleeding
  32. Heavy Menstrual Bleeding
  33. Heavy Menstrual Bleeding
  34. Heavy Menstrual Bleeding – Fact Sheet
  35. Heavy Menstrual Bleeding: What Women Need To Know – Podcast
  36. Heavy Periods
  37. Heavy Periods
  38. Heavy Periods Video In 6 Languages
  39. Heavy Periods: Can Folic Acid Help?
  40. Heavy Periods: How Much Is Heavy Bleeding? Heavy Periods Self-Assessment
  41. Heavy Periods: What You Need To Know [Video]
  42. Help for Heavy Menstrual Bleeding
  43. Hemophilia.org [National Hemophilia Foundation, United States]
  44. Home Remedies: Managing Menstrual Cramps
  45. How Does the Mirena Coil Affect Menopause?
  46. Mayo Clinic Q and A: Consider Potential Risks Associated With Endometrial Ablation
  47. Mayo Clinic Q and A: Menstrual Cups — Why the Recent Increase In Popularity?
  48. Menopause
  49. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Symptom Tracker
    Periods and Heavy Bleeding
  50. Menopause Preparedness Toolkit Video Series: Understanding Menstrual Health and Menopause
  51. Menopause Preparedness Toolkit: A Woman’s Empowerment Guide
  52. Menorrhagia (Heavy Menstrual Bleeding)
  53. Menorrhagia (Heavy Menstrual Bleeding)
  54. Menorrhagia (Heavy Menstrual Bleeding): Diagnosis and Tests
  55. Menorrhagia (Heavy Menstrual Bleeding): Symptoms and Causes
  56. Menstrual Calendar
  57. Menstrual Calendar: Calendario Menstrual [Spanish]
  58. Menstrual Calendar: Calendrier Menstruel [French]
  59. Menstrual Cycle
  60. Menstrual Cycle: What’s Normal, What’s Not
  61. Menstrual Cycle: What’s Normal, What’s Not – How Can I Track My Menstrual Cycle?
  62. Menstrual Diary
  63. My Periods Have Changed. Is Menopause Around the Corner?
  64. PMS, PMDD and You
  65. Perimenopausal and Postmenopausal Bleeding
  66. Perimenopause
  67. Perimenopause – Fact Sheet
  68. Perimenopause: How do I know if changes in my periods are normal perimenopausal symptoms or something to be concerned about?
  69. Period Pain & Symptom Diary
  70. Period Problems: Heavy Bleeding
  71. Periods
  72. Periods
  73. Periods – Fact Sheet
  74. Periods – Menstrual Cycle: Animation [Video]
  75. Periods: Period Problems
  76. Resources / Periods: Heavy Periods: What You Need To Know [Video]
  77. Tips for Tracking Bleeding
  78. Tricky Periods: What’s ‘Normal’ and What’s Not
  79. Uterine/Endometrial Cancer
  80. Vaginal Bleeding
  81. Vaginal Bleeding
  82. Victoryforwomen.org [Victory For Women, National Hemophilia Foundation Health Initiative]
  83. Video Series-2022: Irregular Menstrual Cycles What’s Normal and What’s Abnormal?
  84. Videos About Bleeding Disorders In Women [+ Video: Bleeds Don’t Define Me]
  85. Von Willebrand Disease
  86. Von Willebrand Disease (VWD)
  87. Wednesday Webinar: New Guidelines for VWD: Patient Perspective
  88. What Causes Bleeding Between Periods?
  89. Women and Bleeding Disorders
  90. Women’s Wellness: Abnormal Menstruation Happens In A Variety of Ways
  91. World Menopause Day 2017: Patient Information Leaflet – Changes Before the Change [Perimenopausal Bleeding] [+ Multiply Languages]
  92. Yarning About Periods (Menstrual Cycle)
  93. Your Menstrual Cycle and Your Health

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Heavy Bleeding: What Is Heavy Bleeding? Last Updated: 16 August 2022 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/heavy-bleeding Accessed: 09 September 2022
  2. Heavy Bleeding: What Is Heavy Bleeding? Last Updated: 16 August 2022 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/heavy-bleeding Accessed: 09 September 2022
  3. Menorrhagia (Heavy Menstrual Bleeding): Symptoms & Causes – Overview. 25 June 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menorrhagia/symptoms-causes/syc-20352829 Accessed: 09 September 2022
  4. Bleeding Disorders In Women: Heavy Menstrual Bleeding. Page Last Reviewed: 17 August 2022. Centers for Disease Control and Prevention https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html Accessed: 09 September 2022
  5. Bleeding Disorders In Women: Heavy Menstrual Bleeding. Page Last Reviewed: 17 August 2022. Centers for Disease Control and Prevention https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html Accessed: 09 September 2022
  6. Heavy Bleeding: How Do You Know If Your Bleeding Is Too Heavy? Last Updated: 16 August 2022 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/heavy-bleeding Accessed: 09 September 2022
  7. Heavy Periods: Causes of Heavy Periods. Page Last Reviewed: 03 November 2021. NHS https://www.nhs.uk/conditions/heavy-periods/#what-causes-heavy-periods Accessed: 09 September 2022
  8. Menorrhagia (Heavy Menstrual Bleeding): Symptoms & Causes – Causes. 25 July 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menorrhagia/symptoms-causes/syc-20352829 Accessed: 09 September 2022
  9. Heavy Bleeding: What Is Heavy Bleeding? Last Updated: 16 August 2022 | Last Reviewed: 10 July 2018. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/periods/heavy-bleeding Accessed: 09 September 2022
  10. Perimenopause: Symptoms & Causes – Complications. 07 August 2021. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/perimenopause/symptoms-causes/syc-20354666 Accessed: 09 September 2022
  11. Heavy Bleeding: Treatment. Reviewed: November 2019. British Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/heavy-periods/ Accessed: 09 September 2022
  12. Bleeding Disorders In Women: Heavy Menstrual Bleeding: Treatment. Page Last Reviewed: 17 August 2022. Centers for Disease Control and Prevention https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html Accessed: 09 September 2022
  13. Heavy Menstrual Bleeding (Menorrhagia): Living With – When Do You Call Your Healthcare Provider If You Suspect Heavy Period Bleeding? Last Reviewed: 11 November 2021. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/17734-menorrhagia-heavy-menstrual-bleeding Accessed: 09 September 2022
  14. Menorrhagia (Heavy Menstrual Bleeding): Symptoms & Causes – Symptoms: When To See A Doctor. 25 June 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/menorrhagia/symptoms-causes/syc-20352829 Accessed: 09 September 2022
Topic Last Updated: 06 November 2022 – Topic Last Reviewed: 09 September 2022

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