Excessive menstrual bleeding, also known as menorrhagia, is a medical condition characterized by abnormally heavy or prolonged periods. While the definition of “excessive” can vary from person to person, menorrhagia is generally diagnosed when a woman experiences bleeding that is significantly heavier or longer than her normal menstrual flow. This condition can have a considerable impact on a woman’s physical, emotional, and social well-being.

Symptoms of excessive menstrual bleeding may include:

1. Extended Bleeding: Menstrual bleeding lasting more than seven days.
2. Frequent Changing of Hygiene Products: Needing to change sanitary pads or tampons every hour or two due to heavy flow.
3. Passing Blood Clots:Passing large blood clots during your period.
4. Fatigue and Anemia: Excessive bleeding can lead to iron deficiency anemia, causing symptoms like fatigue, weakness, and paleness.
5. Restriction of Activities: Needing to limit or avoid certain activities due to the fear of leakage or discomfort.

Several underlying factors can contribute to excessive menstrual bleeding:

1. Hormonal Imbalances: Fluctuations in hormones, particularly estrogen and progesterone, can affect the thickness of the uterine lining and lead to heavy bleeding.

2. Uterine Fibroids: These are noncancerous growths in the uterine wall that can cause heavy bleeding and other menstrual disturbances.

3. Adenomyosis: This condition occurs when the tissue that lines the uterus starts growing into the muscular walls of the uterus, leading to heavy and painful periods.

4. Polycystic Ovary Syndrome (PCOS): PCOS can cause irregular periods, and when they do occur, they may be heavy and prolonged.

5. Intrauterine Device (IUD): While some types of IUDs can reduce menstrual flow, others may lead to heavier bleeding.

6. Certain Medications: Blood thinners and some medications used to treat uterine fibroids can increase bleeding.

7. Medical Conditions: Conditions such as thyroid disorders and bleeding disorders can contribute to heavy menstrual bleeding.

If you suspect you have excessive menstrual bleeding, it’s important to consult a healthcare provider. They can perform a thorough evaluation, which may include a physical exam, blood tests, ultrasound, or other imaging studies. Treatment options vary depending on the underlying cause and may include:

– Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce bleeding and pain. Hormonal therapies such as birth control pills, hormonal IUDs, and other medications can also regulate menstrual flow.

– Minimally Invasive Procedures: Procedures like endometrial ablation and uterine artery embolization can help reduce bleeding by targeting the uterine lining or blood supply.

– Surgical Interventions: In more severe cases or when other treatments are ineffective, surgical options like hysterectomy (removal of the uterus) might be considered.

Excessive menstrual bleeding can significantly impact a woman’s quality of life. Seeking medical attention and discussing symptoms with a healthcare professional can help determine the underlying cause and find the most appropriate treatment approach.