How to avoid heavy bleeding during periods?

Heavy bleeding can happen when the womb lining is affected by fibroids, adenomyosis, polyps, or hormonal changes. Irregular ovulation related to polycystic ovary syndrome or the transition toward menopause can also alter bleeding. Less commonly, thickening of the womb lining or a bleeding disorder may be involved. Ongoing blood loss can contribute to iron deficiency anaemia, with tiredness, breathlessness, dizziness, or reduced concentration.

Record the days of bleeding, how often you change menstrual products, clots, pain, and any bleeding between periods. Book an appointment if the pattern is new, worsening, or interfering with daily life. A clinician may discuss anti-inflammatory medicines, medicines that reduce menstrual blood loss, hormonal options, or treatment for a structural cause. Do not start hormonal treatment or iron without checking that it is suitable for you.

Seek urgent help if bleeding is very heavy and you feel faint, weak, short of breath, confused, or have severe pelvic pain. Arrange prompt assessment for bleeding during pregnancy, after menopause, between periods, or after sex. Heavy bleeding with persistent tiredness also deserves review because anaemia may need treatment.

Ask what may be causing the bleeding, whether you need a blood count or iron assessment, and which treatment fits your health, contraception, and pregnancy plans. Ask how quickly to seek help if the bleeding becomes heavier and when to review the plan.