Home / Diseases & Conditions / Menorrhagia
Menorrhagia (Heavy periods)
Menorrhagia is the medical term for heavy or prolonged menstrual bleeding. Menorrhagia can cause significant discomfort, disrupt daily activities, and lead to problems such as low iron levels or anaemia.
What are the symptoms of menorrhagia?
Symptoms may include:
Needing to change pads or tampons frequently
Passing large blood clots during periods
Periods lasting longer than 7 days
Having to use double protection (tampon and pad)
Waking at night to change sanitary protection
Feeling tired, dizzy, or short of breath due to low iron levels or anaemia
What causes menorrhagia?
There are many possible causes, including:
Hormonal imbalances
Fibroids or polyps in the uterus
Certain medical conditions (such as thyroid disorders or bleeding problems)
Some medications (e.g., blood thinners)
In some cases, no clear cause is found
Menorrhagia Treatment
Treatment depends on the severity of bleeding, the underlying cause, and whether you wish to have children in the future.
Heavy periods can affect health and quality of life. Investigations such as blood tests, ultrasound, or hysteroscopy may be recommended to identify the cause. Effective treatments are available, and most sufferers find significant relief with the right option.
Our specialist gynaecology team are experienced in managing heavy periods. We will assess your symptoms, explain your treatment choices clearly, and help you find the best option to restore your comfort and wellbeing.
Observation
If symptoms are mild and not affecting daily life, no treatment may be needed.
Medication
Anti-inflammatory medicines, tranexamic acid, or hormone-based treatments (such as the oral contraceptive pill or hormonal coil) can help reduce bleeding.
Minimally Invasive Procedures
Treatments such as endometrial ablation (removing or destroying the lining of the uterus), can reduce or stop heavy bleeding for some people.
Surgery
If symptoms are severe or persistent, surgical options such as removal of fibroids, polyps, or hysterectomy (removal of the uterus) may be considered.
Find A Specialist
-
Dr Kate van Harselaar
Gynaecologist
