1. Arsema Germanikos
  2. Dr. Temarinet
  3. Friday, 27 November 2015
Dear Dr. TemariNet, I have heavy bleeding during my period. Sometimes, I change about 5 pads per day and feel tired of the bleeding. What shall I do? Thank you doctor.
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Thanks Dear TN member for trusting us to share your concern.

Heavy periods, also called menorrhagia, is when a woman loses an excessive amount of blood during consecutive periods. Menorrhagia can occur by itself or in combination with other symptoms, such as menstrual pain (dysmenorrhea). In most cases it is difficult to define exactly what a heavy period is because the amount of blood lost during a period can vary considerably between women. The average amount of blood lost during a period is 30-40 milliliters (ml), with 9 out of 10 women losing less than 80 ml. Heavy menstrual bleeding is considered to be 60-80ml or more in each cycle. However, it is rarely necessary to measure blood loss.

Most women have a good idea about how much bleeding is normal for them during their period and can tell when this amount increases or decreases. A good indication that your blood loss is excessive if you feel you are using an unusually high number of pads, and you experience flooding (heavy bleeding) through to your clothes or bedding.
These are the signs and symptoms of a heavy period: Your period lasts more than seven days or you go through more than six or seven tampons or pads a day, you are losing so much blood that you become anemic, you get painful menstrual cramps. Heavy bleeding can cause the uterus to contract, which causes cramps, or you get menstrual blood clots. Although, clots smaller than the size of a quarter are normal.

Women can experience heavy menstrual bleeding at any age, but it may occur more often as you near menopause and begin to skip periods — so when you do bleed, the flow may be heavier than normal.
What causes heavy periods? In most cases, no underlying cause of heavy periods is identified. However, some conditions and treatments have been linked to menorrhagia. Possible causes fall into the following three areas: Uterine-related problems (like growths or tumors of the uterus, cancer of the uterus or cervix, Certain types of birth control—for example, an intrauterine device (IUD), problems related to pregnancy, such as a miscarriage or ectopic pregnancy), Hormone-related problems, and Other illnesses or disorders (like bleeding-related disorders such as platelet function disorder and non bleeding-related disorders such as liver, kidney, or thyroid disease; pelvic inflammatory disease; and cancer).

In addition, certain drugs, such as aspirin, can cause increased bleeding. Doctors have not been able to find the cause in half of all women who have this problem. If you have bleeding such as this, and your gynecologist has not found any problems during your routine visit, you should be tested for a bleeding disorder.

Heavy bleeding does not necessarily mean there is anything seriously wrong, but it can affect a woman physically, emotionally and socially, and can cause disruption to everyday life. In many cases, heavy periods do not need to be treated, as they can be a natural variation and may not disrupt your lifestyle. If treatment is necessary, medication is most commonly used first. However, it may take a while to find the medication most suitable for you, as their effectiveness is different for everyone and some also act as contraceptives. If medication doesn't work, surgery may also be an option.

Dear member, I recommend you to see your nurse or a gynecologist for a better solution.
Dr. TemariNet
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