What Is the Most Common Cause of Menorrhagia?

Fibroids are non-cancerous growths in the muscular wall or outer surface of the uterus. Their position and size can affect bleeding, cramping, pressure, or fertility. Heavy bleeding may also occur when ovulation is irregular, such as during perimenopause or with polycystic ovary syndrome. Polyps, adenomyosis, and thickening of the uterine lining are other possibilities. A clinician may ask about cycle timing, clots, pelvic symptoms, pregnancy possibility, medicines, and symptoms of iron deficiency anaemia.

Arrange an assessment if bleeding is repeatedly heavy, lasts longer than expected, or interferes with daily activities. Keep a simple record of bleeding days, pad or tampon changes, clots, pain, and dizziness. Examination, a pregnancy test when relevant, blood tests, and pelvic imaging may help identify the cause. Treatment depends on the finding and may include medicine, hormonal treatment, or a procedure. Read about Uterine Fibroids, Adenomyosis, Endometrial Polyps, Perimenopause, Polycystic Ovary Syndrome, or Iron Deficiency Anaemia for related information.

Seek urgent medical help for bleeding that rapidly soaks through protection, fainting, severe weakness, shortness of breath, severe pelvic pain, or bleeding during pregnancy. These symptoms can signal significant blood loss or another condition needing prompt assessment. Heavy Periods can help you compare symptoms and prepare for an appointment.

Could a fibroid, polyp, adenomyosis, hormonal change, or another condition explain my bleeding? Do I need blood tests or an ultrasound? How can we check for iron deficiency? Which treatment fits my symptoms, pregnancy plans, and medical history?