Heavy Periods (Causes, Symptoms, and Treatment Options)

Heavy Periods (Causes, Symptoms, and Treatment Options)


Heavy periods, also known as menorrhagia, is a common condition that affects many women at some point in their lives. It is characterized by prolonged and heavy menstrual bleeding that can significantly disrupt daily activities, cause anemia, and affect overall quality of life. In this article, we will discuss the causes, symptoms, and treatment options for heavy periods.


Causes of Heavy Periods

Several factors can contribute to heavy periods, including hormonal imbalances, structural abnormalities, and underlying medical conditions. Here are some of the most common causes of heavy periods:

Hormonal Imbalances

Hormonal imbalances are a frequent cause of heavy periods, particularly in women who are in their teens or approaching menopause. During these stages, fluctuations in estrogen and progesterone levels can lead to abnormal uterine bleeding. Additionally, conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, and pituitary gland disorders can cause hormonal imbalances and contribute to heavy bleeding.

Structural Abnormalities

Structural abnormalities in the uterus or cervix can also cause heavy periods. Fibroids, which are non-cancerous growths in the uterus, are a common cause of heavy bleeding. Other structural abnormalities that can cause heavy periods include uterine polyps, adenomyosis, and endometrial hyperplasia or cancer.

Medical Conditions

Certain medical conditions can also contribute to heavy periods. Blood clotting disorders, liver or kidney disease, and certain medications such as blood thinners can all increase the risk of heavy bleeding. Additionally, pelvic inflammatory disease (PID), which is an infection of the reproductive organs, can also cause heavy bleeding.


Symptoms of Heavy Periods

The most obvious symptom of heavy periods is prolonged and heavy bleeding during menstruation. Other symptoms may include:

  • Passing large blood clots
  • Needing to change pads or tampons frequently (more than once every hour)
  • Bleeding through pads or tampons and onto clothing
  • Having periods that last longer than seven days
  • Experiencing fatigue, shortness of breath, or dizziness due to anemia

If you are experiencing any of these symptoms, it is important to talk to your doctor about your menstrual bleeding patterns and get a proper diagnosis.


Diagnosis of Heavy Periods

To diagnose heavy periods, your doctor will typically perform a physical exam and may recommend some tests, including:

  • Blood tests to check for anemia or hormonal imbalances
  • Pelvic ultrasound to evaluate the uterus and ovaries
  • Endometrial biopsy to check for abnormal cells or cancer

Based on the results of these tests, your doctor may recommend a treatment plan to manage your heavy periods.


Treatment Options for Heavy Periods

The treatment options for heavy periods depend on the underlying cause and the severity of the bleeding. Here are some of the most common treatment options for heavy periods:

Hormonal Birth Control

Hormonal birth control, such as birth control pills, patches, or hormonal intrauterine devices (IUDs), can help regulate hormonal imbalances and reduce heavy bleeding in many women. These methods work by thinning the uterine lining, which can make periods lighter and shorter.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can help reduce heavy bleeding by reducing inflammation and blood flow in the uterus. These medications are typically taken at the onset of menstruation and continued for several days to manage heavy bleeding.


In summary, heavy periods can be a disruptive and sometimes debilitating condition that affects many women. Understanding the causes, symptoms, and treatment options for heavy periods can help women take control of their menstrual health and improve their quality of life.

If you are experiencing heavy periods, it is essential to talk to your doctor about your symptoms and get a proper diagnosis. Depending on the underlying cause, your doctor may recommend hormonal birth control, NSAIDs, or other medications to manage heavy bleeding.

At Women’s Health Center of Chicago, we offer comprehensive care for women’s reproductive health, including diagnosis and treatment of heavy periods. Dr. Alshahrour is committed to providing personalized care and effective solutions for women of all ages.

If you are struggling with heavy periods or other reproductive health issues, we invite you to schedule an appointment with us today. Together, we can help you achieve optimal health and wellness.

Dr. Adeeb AlShahrour
Dr. Adeeb AlShahrour

Dr. Alshahrour is a highly skilled obstetrician and gynecologist who provides compassionate care to women of all ages. He has years of experience in the field, and is dedicated to helping his patients achieve the best possible health outcomes.