Heavy Bleeding (Menorrhagia)

Heavy menstrual bleeding, also known as menorrhagia, is more than a heavy period. Ongoing or excessive bleeding can interfere with daily activities, affect energy levels, and increase the risk of anemia if left untreated.

At MyObgyne, we evaluate and treat heavy menstrual bleeding in San Tan Valley, AZ. If your periods are consistently heavy, last longer than expected, or are difficult to manage, individualized care is available.

What Is Considered Heavy Menstrual Bleeding?

Your period may be considered heavy if you experience one or more of the following:

• Bleeding that lasts longer than seven days
• Needing to change a pad or tampon every one to two hours
• Passing large blood clots, larger than a quarter
• Waking at night to change menstrual protection
• Bleeding that soaks through clothing or bedding
• Symptoms of anemia such as fatigue, dizziness, or shortness of breath

If these symptoms occur regularly, medical evaluation is recommended.

Common Causes of Heavy Bleeding

Heavy menstrual bleeding can result from several conditions or hormonal imbalances. Identifying the cause helps guide effective treatment.

Hormonal causes may include:

• Polycystic ovary syndrome (PCOS)
• Thyroid dysfunction
• Perimenopause or irregular ovulation

Structural causes may include:

• Uterine fibroids
• Endometrial polyps
• Adenomyosis
• Endometriosis

Other contributing factors may include:

• Blood clotting disorders
• Certain medications such as blood thinners
• Use or recent removal of some types of IUDs
• Pregnancy-related complications such as miscarriage or ectopic pregnancy

Understanding the underlying cause is the first step toward long-term relief.

When to Seek Medical Care

You should schedule a visit with an OB-GYN in San Tan Valley if:

• Heavy bleeding occurs month after month
• You need to change pads or tampons more often than every one to two hours
• You pass multiple or large clots or need to double menstrual protection
• You experience pain, fatigue, dizziness, or lightheadedness
• Bleeding disrupts work, sleep, or daily activities
• You have concerns about fertility or future pregnancy

Diagnosis

Evaluation begins with a review of your menstrual history, symptoms, and overall health. Diagnostic testing may include:

• Pelvic examination
• Blood tests to assess anemia, thyroid function, or clotting issues
• Pelvic ultrasound to evaluate the uterus and ovaries
• Endometrial biopsy when indicated
• Hysteroscopy for direct evaluation of the uterine cavity

These tools help guide treatment decisions based on your specific diagnosis.

Treatment Options for Heavy Menstrual Bleeding

Treatment depends on the cause of heavy bleeding, your age, and whether you plan to become pregnant.

Nonsurgical treatment options may include:

• Hormonal birth control such as pills, patch, ring, or IUD to regulate bleeding
• Medications such as tranexamic acid or NSAIDs to reduce blood loss
• Hormonal or thyroid treatment when indicated
• Iron supplementation or nutritional support to address anemia

Minimally invasive procedures may include:

• In-office removal of polyps or fibroids
• Endometrial ablation to reduce or stop menstrual bleeding
• Uterine artery embolization for fibroid treatment

Surgical options may include:

• Myomectomy to remove fibroids while preserving the uterus
• Hysterectomy, typically considered when other treatments are not effective and childbearing is complete

Take Control of Your Menstrual Health

Heavy bleeding is common, but it is not normal when it interferes with your quality of life. Effective treatment can reduce symptoms and help restore balance.

If you are experiencing heavy menstrual bleeding in San Tan Valley, AZ, schedule an appointment with MyObgyne to explore treatment options that fit your needs.