Menorrhagia for Two Months: What to Do

Bleeding across two menstrual cycles may reflect fibroids, adenomyosis, endometrial polyps, a thickened womb lining, hormonal changes, perimenopause, or polycystic ovary syndrome. Medicines, a bleeding disorder, pregnancy-related problems, and other conditions can also alter bleeding. The duration alone cannot identify the cause.

Watch for tiredness, headaches, dizziness, reduced exercise tolerance, paleness, or a racing heartbeat. These can occur with iron deficiency anaemia after repeated blood loss. A pregnancy test may be relevant even when bleeding resembles a period.

Book a clinical assessment rather than waiting for another cycle. Note when each episode began and ended, how often protection needed changing, clot size, pain, bleeding after sex, and medicines such as anticoagulants. A clinician may consider an examination, pregnancy testing, blood tests, and imaging based on your history.

Treatment depends on the cause and your plans for pregnancy. Options can include medicines to reduce bleeding, hormonal treatment, iron replacement, or care for a structural womb condition. Do not take someone else’s prescription.

Seek emergency help for fainting, severe dizziness, confusion, breathlessness, chest pain, severe pelvic pain, or bleeding that rapidly soaks protection. Seek prompt advice if you may be pregnant, have fever, or feel increasingly weak. Bleeding after menopause needs medical review.

Could I have iron deficiency anaemia? Which tests are appropriate? Could my medicines be contributing? What can reduce bleeding while the cause is investigated? When should I return if the bleeding continues?