Heavy periods (menorrhagia): when to seek help

Heavy periods can have a significant impact on daily life, affecting work, social activities, and overall wellbeing. Many women tolerate symptoms for years before seeking help, often unnecessarily.

What counts as heavy bleeding?

  • Soaking through pads/tampons every 1–2 hours
  • Passing large clots
  • Periods lasting longer than 7 days

Common causes

  • Fibroids
  • Hormonal imbalance
  • Endometriosis
  • Adenomyosis

Treatment options

There are several effective treatments available:

  • Medication to reduce bleeding (e.g. Tranexamic acid)
  • Hormonal treatments such as the contraceptive pill or hormonal coil (ius)
  • Minimally invasive procedures (e.g. Endometrial ablation)
  • Surgical options in more severe cases

When to seek help

  • Symptoms affect your quality of life
  • You feel fatigued (possible anaemia)
  • Bleeding worsens over time

Final thoughts

Heavy periods are common but they are also highly treatable. You don’t need to suffer in silence.

Faqs

Can heavy periods cause anaemia?
Yes, prolonged blood loss can lead to iron deficiency.

Is surgery always needed?
No, many cases are managed medically.


If you would like to discuss any concerns you have on this subject, please contact the London Gynaecologist to book an appointment