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Heavy periods

Information from the Medical Directory health library.

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This information supports, and does not replace, advice from your healthcare professional.

Overview

Heavy periods (menorrhagia) involve unusually heavy or prolonged menstrual bleeding, which can interfere with daily life and cause anemia.

Symptoms

Soaking through one or more sanitary pads/tampons every hour Bleeding for more than 7 days Passing large blood clots Fatigue or shortness of breath (from anemia)

Causes

Hormonal imbalances Uterine fibroids or polyps Medical conditions: thyroid disorders, bleeding disorders Medications such as blood thinners

Diagnosis

Medical history and menstrual diary Physical and pelvic examination Blood tests for anemia and hormonal levels Ultrasound or hysteroscopy to check uterus

Treatment

Medications: hormonal treatments, anti-inflammatory drugs, iron supplements Procedures: endometrial ablation, surgery, or removal of fibroids/polyps Lifestyle adjustments: managing anemia and diet

Complications

Anemia leading to fatigue and weakness Interference with daily activities and quality of life

Prevention

Regular gynecological check-ups Early treatment of hormonal or uterine issues Maintain a healthy lifestyle and manage underlying conditions

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