Your doctor may also ask if any of your family members have had heavy menstrual bleeding. He or she may also have you complete this questionnaire Cdc-pdf [PDF — KB] to help determine if you need to be tested for a possible bleeding disorder. You might want to track your periods by writing down the dates of your periods and how heavy you think your flow is maybe by counting how many pads or tampons you use.
Do this before you visit the doctor so that you can give the doctor as much information as possible. Above is a picture of a chart that is used by some doctors to track your period.
You can make your own chart based on the one shown. Your doctor also will do a pelvic exam and might tell you about other tests that can be done to help find out if you have menorrhagia. Click here to view a larger image. Your doctor might tell you that one or more of the following tests will help find out if you have a bleeding problem:.
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. For example, some women do not want to have a period, some want to know when they can usually expect to have their period, and some want just to reduce the amount of bleeding.
Some women want to make sure they can still have children in the future. Others want to lessen the pain more than they want to reduce the amount of bleeding. Some treatments are ongoing and others are done one time. You should discuss all of your options with your doctor to decide which is best for you. Following is a list of the more common treatments. Menorrhagia is common among women. But, many women do not know that they can get help for it. There are many different causes of menorrhagia, most of them treatable.
The most common causes of heavy periods include:. Just like there are many causes of menorrhagia, there are many treatment options available. Menorrhagia can usually be managed with medication and lifestyle changes.
In some cases, heavy periods caused by fibroids, growths or endometriosis might be best treated with surgery. In a normal cycle, the release of an egg from the ovaries stimulates the body's production of progesterone, the female hormone most responsible for keeping periods regular. When no egg is released, insufficient progesterone can cause heavy menstrual bleeding. Menorrhagia in adolescent girls is typically due to anovulation.
Adolescent girls are especially prone to anovulatory cycles in the first year after their first menstrual period menarche. Menorrhagia in older reproductive-age women is typically due to uterine pathology, including fibroids, polyps and adenomyosis. However, other problems, such as uterine cancer, bleeding disorders, medication side effects and liver or kidney disease could be contributing factors.
Menorrhagia can cause blood loss anemia by reducing the number of circulating red blood cells. The number of circulating red blood cells is measured by hemoglobin, a protein that enables red blood cells to carry oxygen to tissues. Iron deficiency anemia occurs as your body attempts to make up for the lost red blood cells by using your iron stores to make more hemoglobin, which can then carry oxygen on red blood cells.
Menorrhagia may decrease iron levels enough to increase the risk of iron deficiency anemia. Signs and symptoms include pale skin, weakness and fatigue. Although diet plays a role in iron deficiency anemia, the problem is complicated by heavy menstrual periods.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. More Information Blood clots during menstruation: A concern? Request an Appointment at Mayo Clinic.
Fibroid locations Open pop-up dialog box Close. Fibroid locations There are three major types of uterine fibroids. Uterine polyps Open pop-up dialog box Close. Uterine polyps Uterine polyps attach to your uterus by a large base or a thin stalk and can grow to be several centimeters in size.
Adenomyosis Open pop-up dialog box Close. Adenomyosis With adenomyosis, the same tissue that lines the uterus endometrial tissue is present within and grows into the muscular walls of your uterus.
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