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Heavy Menstrual Bleeding - 9 Causes Behind It

Dr. Pranay Ghosh 90% (20 ratings)
MBBS, MS - Obstetrics and Gynaecology, Diploma in Minimal Access Surgery, M.Med.Sci (ART), Specialist Training in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Delhi  •  11 years experience
Heavy Menstrual Bleeding - 9 Causes Behind It

Heavy menstrual bleeding, technically called menorrhagia, is one of the most common types of abnormal bleeding from the uterus. Menstrual bleeding is said to be heavy if there is so much blood that a tampon or pad remains soaked for several hours. 

Here are all the possible causes of heavy menstrual bleeding:

1. Hormonal imbalance
Estrogen and progesterone levels are the primary control mechanism for periods. If the ovaries have a problem in functioning, hormonal imbalances may occur. Heavy menstrual bleeding is most common in females who are at the start of menopause. Puberty menorrhagia can occur in adolescents who are experiencing their first menstrual period. 

2. Fibroids
These most commonly occur around the age when women can get pregnant. Uterine fibroids are non-cancerous growths on the uterus.

3. Ectopic pregnancy
An ectopic pregnancy is when a fertilized egg stays in the fallopian tube but does not reach the uterus.

4. Blood thinners
These are medicines which are usually anticoagulant or anti-platelet drugs.

5. Problems with IUD
A non-hormonal intrauterine device is a T-shaped device used for birth control which is inserted into the uterus.

6. Adenomyosis
This is a condition in which the muscular wall of the uterus also gets the lining of the uterus intermingled with it. However, this condition is rare and only happens in middle aged women with several children.

7. PID
PID stands for pelvic inflammatory disease and refers to any infection within the organs of the reproductive system.

8. Cancer
Uterine, ovarian and cervical cancer are just some of the cancers which may cause heavy menstrual bleeding.

9. Other diseases
Liver, kidney and thyroid diseases are all included. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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