Severe menstruation

What is heavy menstruation?

Severe menstruation, also known as menorrhagia, means that more than 80 ml of blood is lost per cycle or your period lasts longer than 7 days. This can affect your energy and iron stores.

Characteristics of this menstruation

• Blood loss of more than 80 ml per cycle.
• Blood clots larger than a coin.
• Frequent leakage, even with regular changes of menstrual products.
• Prolonged menstruation of 7 days or longer.

Causes of heavy menstruation

• Hormonal imbalance (e.g., too much estrogen).
• Uterine disorders, such as fibroids or polyps.
• Endometriosis or adenomyosis.
• Blood clotting disorders or use of blood thinners.
• Copper IUD, which can lead to more heavy bleeding.

Treatment options

• NSAIDs (such as ibuprofen) reduce blood loss and pain.
• Hormonal contraception regulates the cycle and reduces bleeding.
• Tranexamic acid helps with blood clotting.
• In severe cases, medical intervention may be required.

When should you consult a doctor?

When heavy periods interfere with your daily life, you become anemic or your periods suddenly become much more intense.