Ovarian cancer and heavy periods: what to know

Heavy menstrual bleeding has many possible explanations, including hormonal changes, fibroids, polyps, medication effects, bleeding disorders, and problems involving the uterus or cervix. Ovarian cancer can present with changes in bleeding, but heavy periods alone do not establish that diagnosis.

A clinician may ask how often you change protection, whether you pass clots, whether bleeding occurs between periods or after sex, and whether you feel tired or short of breath. They may examine you and arrange blood tests or pelvic imaging such as a Pelvic Ultrasound.

Track bleeding days, the products used, clots, pain, dizziness, and whether the pattern differs from your usual cycle. Book an appointment if bleeding is newly heavy, continues across cycles, interrupts daily activities, or occurs after menopause. Tell the clinician about pregnancy possibility, medicines, contraception, and family history.

Ask whether you need a blood count or iron assessment, and whether the uterus, ovaries, or both need imaging. Treatment depends on the cause and on your plans for pregnancy. Do not stop prescribed medicine without advice.

Seek urgent medical help if bleeding is very heavy and you feel faint, confused, unusually breathless, or too weak to stand. Prompt review is also needed for bleeding after menopause, severe pelvic pain, fever, or bleeding with a positive pregnancy test.

What causes should we check first? Do I need blood tests for anaemia or iron deficiency? Would a Pelvic Ultrasound help? Could my medicines or contraception contribute? Which changes should make me seek urgent care?