Frequently Asked Questions & Answers about Heavy Periods
By Barbara Dehn NP
MomCentral.com
AskNurseBarb.com
How do I know if I have heavy periods?
Although many women may feel as though they are the only ones experiencing heavy periods, women of all ages have heavy periods that interfere with their day-to-day lives. You may have heavy periods if your period:
• Lasts a long time
• Is so heavy that you need to change pads or tampons every 1 to 2 hours
• Is so heavy that you often have a tampon AND a pad for more protection
• Is so heavy that you have to change pads at night
Is it normal to miss work or other activities once in a while because of heavy bleeding?
Many women are surprised to learn that it’s not considered normal for periods to disrupt their normal activities and life. Heavy periods may be interfering with the quality of your life if you:
• Wear dark clothing because you worry about “accidents” during your period
• Miss work or social activities because of heavy periods
• Find that your mood is significantly affected by your heavy periods
• Have had to significantly alter sexual relationships because of heavy periods
• Feel that your life would be much better without your periods
Who is likely to experience heavy bleeding?
Women of all ages may experience heavy bleeding, yet many women in their 30s and 40s may develop heavy bleeding for the first time. Women who have stopped taking birth control pills, those who have had their tubes tied (tubal ligation) and women who are pre-menopausal are especially likely.
What causes heavy periods to occur?
Hormonal changes are usually the cause of heavy periods. This tends to be most prevalent in younger girls and teens who are beginning adolescence, and women in their late 30s and early 40s, due to big swings in their hormone levels. These hormone fluctuations usually mean that she is not ovulating regularly and heavy and long periods may result.
What else may cause heavy periods?
Though most heavy periods are caused by hormonal changes, there are other medical conditions that can also cause heavy bleeding. Before considering any treatments for heavy bleeding, the following possibilities need to be ruled out:
• Polyps – Small, non-cancerous growths attached to the lining of the uterus
• Fibroids – Non-cancerous growths of the uterus that are common in women over 30. Fibroids may be within the lining of the uterus, within the muscle, or on the outside wall of the uterus. While some women experience no symptoms, some fibroids can lead to irregular bleeding or pain
• Pre-cancerous or cancerous changes within the lining of the uterus – The lining of the uterus is known as the endometrium, and cancer here, thankfully, is rare. However, if a woman over 35 has been bleeding continuously for more than a few months, she should consult a health care provider to rule out this possibility
• Adenomyosis – In this condition, the lining of the uterus grows into the muscle of the uterus and causes heavy and painful periods
• Thyroid imbalance – Too much or too little of the thyroid hormones can interfere with normal cycles
Are there safe treatment options available for heavy periods?
There are a number of different options available to women with heavy bleeding. The treatments depend upon whether a woman wants more children, the results of any tests she may have had, her age, and how long she’s been dealing with heavy periods.
For a complete list of treatment options see:
www.DareToWearWhite.comWhat tests may be performed on a woman experiencing heavy bleeding?
Depending on how long a woman has been bleeding heavily, one or more of the following tests may be recommended:
• Pelvic Ultrasound – This test looks at the size and shape of the uterus and ovaries, and measures the thickness of the lining of the uterus
• Endometrial Biopsy – A thin, flexible tube is passed into the uterus to obtain a small sample of the tissue, which is analyzed for any abnormal or cancerous cells
• Sonohysterography – During an ultrasound, a small amount of fluid is introduced into the uterus through a thin, flexible tube to look for polyps or fibroids that may be interfering with regular cycles
• Hysteroscopy – A thin flexible scope is passed into the uterus to obtain a view of the uterine lining. Polyps or small fibroids also can be easily removed during this procedure. Anesthesia is necessary for this test
• Other lab tests – Health care providers may order blood tests for anemia, thyroid issues and bleeding disorders