Patient Education · Balaji Horizon

Heavy Menstrual Bleeding (HMB)

Dr. Priyadatt Patel
Reviewed by Dr. Priyadatt PatelSenior Gynecologist · Advanced Laparoscopic Surgeon · IVF & Endometriosis Programme Lead
DPP
Reviewed by Dr. Priyadatt PatelSenior Gynecologist Β· Advanced Laparoscopic Surgeon Β· Last reviewed 25 May 2026

What Can Cause My Heavy Menstruation?

Women all over the world experience menorrhagia or heavy menstrual bleeding (HMB) which is also common in women from Mehsana City. This condition encompasses periods where the bleeding is excessively prolonged to the point that daily activities or health are affected. It is important to understand the reasons and approaches if you have passed through a long cycle of having excessive bleeding during menstruation.

What Do You Consider β€œHeavy Blood Loss During Their Menstrual Cycle?”

Asking yourself the question if you are in the borderline of heavy periods? See if the below check list fits you:

  • Time Duration: Any period lasting longer than seven days.
  • Elongation: If you find you are soaking through one or more tampons or pads every single hour.
  • Clots: Undoubtedly checking at any time or wearing multiple pads at a time is required and so is changing during night as well and passing blood clots larger than a quarter.

If you find yourself fitting the description, it means you are experiencing excessive bleeding that needs to be resolved.

What May Cause Heavy Bleeding?

Menorrhagia isn’t without explanation, as usually the common includes.

  1. Hormonal Imbalance: Both are frequently the case of women near the menopause stage or those showing sign of infrequent ovulation.
  2. Fibroids or Polyps: More specifically, severe internal benign growth of the walls of the uterus leading to heavy bleeding.
  3. Ovarian Dysfunction: Such as Polycystic Ovary Syndrome (PCOS) which is linked with imbalanced hormonal secretion.
  4. Cancer: Rare, but cervical and uterus cancers can cause irregular bleeding in especially menopausal women.
  5. Inherited Bleeding Disorders: Excessive blood loss can occur with conditions like hemophilia.

IUDs: Some intrauterine devices (IUDs) can also cause excessive menstrual flow.

When Should You Consult a Medical Professional?

A gynecologist should be consulted if there is constant, extreme blood loss. Women in Mehsana City can consult with top doctors in Ahmedabad for better evaluation and treatment. As per the experts’ advice, an OB-GYN will obtain a detailed history, and undergoing a clinical exam that may include:

  • Clinical exam
  • Ultrasound examination
  • Hysteroscopy procedure
  • Taking Endometrial tissue
  • MRI examination

And other clinical signs will assist in outlining the pathologic origin of increased menstruation and finding the most effective ways to eradicate.

Menorrhagia Treatment Guidelines

  • Below are some proposed strategies to treat heavy periods:

    1. Hormonal therapy: Menstrual flow can be controlled with birth control pills.
    2. Tranexamic Acid: Assists with clot retention to curb excessive blood loss.
    3. NSAIDs: Menstruation would be cranky, painful, and profusely flowing which ibuprofen can treat.
    4. Surgical Treatments: Tran’s cervical endometrial resection: Surgery used to treat dysfunctional uterine bleeding by resecting the endometrium.
    • Myomectomy: The operative removal of fibroids with a gland preserving the uterus.
    Hysterectomy: Total surgical removal of the uterus and cervix. Performed to treat gynecological cancers or other grave conditions.

Why Should You Care?

Heavy bleeding can cause Anemia which would result in weakness, dizziness, and fatigue. It can also be suggestive of severe Anovulation, Endometrial hyperplasia, or in the worst case scenario… Cancer. It is also obvious that sclerosing Encapsulating Peritonitis requires an early diagnosis for treating and preventing long-term health issues.

Conclusion

Consult a qualified gynecologist if you are experiencing a prolonged or excessive period of bleeding. Women from Mehsana City can consult the best specialists in Ahmedabad, Dr. Priyadtt Patel. It is obvious that menstrual problems require early diagnosis and timely treatment.

Reach out and speak with a clinic today if you need more details, or wish to schedule an appointment. Improving your quality of life is easy by taking care of your reproductive health.

Dr. Priyadatt Patel
About the Author
Dr. Priyadatt Patel
Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF & Endometriosis Programme Lead
Founder of Balaji Horizon Women’s Hospital. ESHRE / ASRM / FIGO-aligned practice. ★ 5.0 on Google · 287 reviews.
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Related specialist care at Balaji Horizon Women’s Hospital: heavy bleeding treatment in Ahmedabad

Related care at Balaji Horizon

When heavy periods come with persistent pelvic pain, the two are often linked. Our chronic pelvic pain evaluation in Ahmedabad assesses both together rather than in isolation.

Related: Advised to have your uterus removed? See Do you really need a hysterectomy? A second opinion — and the uterus-sparing alternatives.

Frequently Asked Questions

What counts as heavy menstrual bleeding?
Bleeding heavy enough to soak through pads/tampons every 1–2 hours, pass large clots, extend beyond 7 days, or cause iron deficiency. Self-report of significant impact is valid.
Is HMB serious?
It significantly affects quality of life and causes iron deficiency. Less commonly, HMB signals significant pathology (large fibroids, adenomyosis, hyperplasia or rarely cancer). It deserves proper evaluation.
Will medical treatment work?
For most causes, yes. Tranexamic acid, NSAIDs, hormonal options and Mirena IUS produce substantial improvement in most women. Medical treatment should be tried adequately before surgery is considered.
Is Mirena IUS suitable for me?
Mirena is suitable for most women with HMB, including those with fibroids (if cavity is not significantly distorted) and adenomyosis. It also provides contraception and is reversible.
Will I need a hysterectomy?
Not usually. Hysterectomy is one option for women with persistent HMB who have completed their family and failed medical treatment, but most women avoid it with appropriate medical or less invasive surgical options.
Can I get pregnant with HMB?
Yes, depending on the cause. Treat the underlying cause; ovulatory function is usually preserved. Some treatments (Mirena, COCP) prevent conception during use; tranexamic acid and NSAIDs do not.
Should I see a doctor about heavy periods?
Yes β€” especially if periods affect work, school, sleep or daily life, or if you have signs of iron deficiency. HMB is not "normal" and deserves evaluation.
Is HMB a sign of cancer?
Most HMB is benign. Endometrial cancer is a rare cause and should be excluded in women over 45 or those with risk factors (obesity, PCOS, unopposed oestrogen exposure, family history).
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