When Is Heavy Menstrual Bleeding a Sign of an Underlying Condition?

Menstrual bleeding varies from person to person, but excessive or prolonged bleeding can sometimes indicate an underlying medical condition. If you find yourself soaking through pads or tampons in an hour, passing large clots, or experiencing periods that last longer than a week, it may be time to seek professional evaluation. At Woodlands OBGYN Associates, our experienced doctors offer expert diagnosis and treatment for abnormal or heavy menstrual bleeding.

What Defines Heavy Menstrual Bleeding?

Heavy menstrual bleeding (also called menorrhagia) is more than just an inconvenience—it can interfere with daily life and signal a health issue. Common signs include:

• Bleeding lasting more than seven days
• Needing to change protection every one to two hours
• Passing blood clots larger than a quarter
• Symptoms of anemia, such as fatigue, dizziness, or shortness of breath

If you experience any of these symptoms, it is essential to consult with an OBGYN to determine the cause.

Possible Causes of Heavy Menstrual Bleeding

Several medical conditions can contribute to excessive menstrual bleeding, including:

• Hormonal Imbalances – Irregular estrogen and progesterone levels can cause the uterine lining to thicken, leading to heavier periods. This is common in conditions like polycystic ovary syndrome (PCOS) and perimenopause.
• Uterine Fibroids – Noncancerous growths in the uterus can cause prolonged and heavy bleeding.
• Adenomyosis – When uterine tissue grows into the muscle wall, it can lead to painful, heavy periods.
• Endometriosis – This condition occurs when tissue similar to the uterine lining grows outside the uterus, often causing irregular and excessive bleeding.
• Bleeding Disorders – Some individuals have clotting disorders that prevent normal blood regulation during menstruation.
• Medications and Medical Devices – Certain blood thinners, anti-inflammatory drugs, or intrauterine devices (IUDs) may contribute to heavier bleeding.

When to Seek Medical Care

If heavy bleeding interferes with your quality of life, an OBGYN can help determine the cause and recommend treatment options. Medical evaluation may include a pelvic exam, ultrasound, or hormone testing. Treatment may involve medications, minimally invasive procedures, or other tailored solutions based on your condition.

At Woodlands OBGYN Associates, we provide comprehensive care to help you manage heavy menstrual bleeding and improve your overall health. Our commitment to your health and comfort is evident in everything we do. To contact us in The Woodlands, TX, please call 281-364-9898 today.