EH logo

Is a Heavy Period Normal During Menopause?

October 19, 2023

Are you going through menopause or perimenopause? Irregular or unusually heavy periods can be alarming. While some changes in flow are expected during this transition, it's essential to understand when heavy bleeding might signal a need for medical attention.

What is considered "heavy" bleeding?

Heavy menstrual bleeding isn't just inconvenient; it can affect your daily life. Here are signs that your flow might be unusually heavy:

  • Needing to change your pad or tampon every hour or two
  • Passing large blood clots
  • Bleeding for more than 7 days consistently
  • Fatigue or shortness of breath due to blood loss

Common Causes of Heavy Bleeding During Menopause:

  • Hormonal Imbalances: Fluctuations in estrogen and progesterone are regular during perimenopause and can lead to irregular bleeding patterns.
  • Uterine Fibroids: These are non-cancerous growths in the uterus that can cause heavy or prolonged periods.
  • Endometrial Polyps: Small growths on the uterine lining that can also cause excessive bleeding.
  • Other Potential Causes: In rarer cases, heavy bleeding might be linked to issues like thyroid problems, blood clotting disorders, or, in the very worst case, endometrial cancer.

Don't Ignore Heavy Bleeding!

Talk to your doctor if you're experiencing unusually heavy periods. A specialist can discuss your symptoms and order tests to determine the cause, which might include:

  • Pelvic exam
  • Blood tests
  • Ultrasound

Treatment Options

Rest assured, a range of treatment options exists to manage heavy bleeding during menopause. Your doctor can create a personalized plan, which may include:

  • Hormonal therapies: To help regulate your menstrual cycle.
  • Medications: For managing excessive bleeding and pain.
  • Minimally invasive procedures: Options may exist if fibroids or polyps cause your issues.
  • Surgery: This may be recommended in particular situations.

Take Charge of Your Health

If you're concerned about heavy bleeding during or after menopause, consulting a specialist can get you answers and provide relief. Don't hesitate to discuss this issue with your doctor and contact the necessary tests; it's crucial for your overall health and well-being.