Heavy Bleeding

What is abnormal uterine bleeding?
Heavy bleeding is the most common concern and gynecologic condition we see in our patients. At Modern Ob/Gyn, we can help you identify whether your bleeding is considered abnormal, if you need evaluation, or if you may benefit from treatment of your heavy bleeding. Many women with heavy menstrual periods don’t know whether the flow is normal or heavy enough to be concerned. Here are some guidelines that can help you decide whether your bleeding is abnormal.
Bleeding is too heavy when:
- Bleeding lasts more than 7-8 days
- Bleeding soaks through one or more tampons or pads per hour
- You need to "double up" using either 2 pads or tampons and pads to control the flow
- You bleed through onto your clothes
- You need to change pads or tampons during the night
- You pass blood clots larger than a quarter
- Irregular or unpredictable episodes of bleeding
What can you do about heavy bleeding?
At Modern Ob/Gyn, we highly encourage women to come in for consultation if they are concerned about their bleeding. Heavy bleeding affects more than just your quality of life. It can have significant medical implications and can sometimes be caused by concerning conditions such as fibroids, polyps, pre-cancerous changes, or uterine cancer. If you are experiencing heavy bleeding, especially if you are also having any dizziness, fatigue, lightheadedness during your cycle, or have other medical conditions, please call our office to schedule a consultation.
Treatment Options for Heavy Bleeding
Your doctor will provide a thorough evaluation to identify the causes of your heavy bleeding and will then be able to recommend the best treatment option for you. Treatments vary depending on the cause and severity of symptoms.
Treatments include:
- Hormonal medical management with pills or IUDs
- Medical management with pills to help lessen the bleeding
- In-office procedures such as hysteroscopy D&C or endometrial ablation
- Surgical procedures, if necessary, for certain conditions
Additional Resources
Learn more about heavy bleeding from the American College of Obstetricians & Gynecologists.