heavymenstrual bleeding treatment and vaccination

Heavy Menstrual Bleeding Treatment and Surgery

Heavy periods are often dismissed as being normal by women. But when bleeding starts interfering with work, sleep, travel, or overall energy levels, it deserves medical attention. A normal menstrual cycle usually comes every 21–35 days, lasts about 4–6 days, and involves moderate blood loss. Heavy menstrual bleeding also known as menorrhagia is when the flow is significantly more than usual, soaking through a pad every 1–2 hours, passing large clots, bleeding beyond 7 days, or needing to wake up at night to change protection.

The cause varies depending on age and overall health. It includes:

  • Hormonal imbalance
    This includes irregular ovulation, thyroid disorders and PCOS.
  • Structural causes (more common in 30s and 40s)
    This is seen in middle aged women and includes conditions such as uterine fibroids, adenomyosis, uterine polyps and hormonal fluctuations during perimenopause
  • Other contributing factors
    These include blood-thinning medications, copper intrauterine devices (IUCD), rare bleeding disorders, pelvic infections, as well as other serious gynaecological conditions.

The first step is a detailed discussion. Gynaecologists ask several questions to patients to learn about their period cycle.

  • Detailed clinical history
    • Cycle regularity and duration
    • Amount of bleeding and clot passage
    • Associated pain
    • Symptoms of weakness or fatigue
    • Family history of similar issues
  • Blood tests
    • Haemoglobin levels to check for anaemia
    • Thyroid function tests
    • Additional tests if a clotting disorder is suspected
  • Imaging
    • Ultrasound scan to detect fibroids, polyps, adenomyosis, or ovarian issues
  • Endometrial biopsy (when indicated)
    • Recommended in certain age groups
    • Advised if the bleeding pattern is unusual
    • Helps rule out abnormal or precancerous changes

Reach out to doctors at our Department of Gynaecology for the best menorrhagia treatment in Navi Mumbai.

Treatment depends on your age, the cause of bleeding, and whether you wish to conceive in the future. For many women, medications are effective. Hormonal treatments, including progesterone tablets, combined pills, or a hormone-releasing intrauterine device, thin the uterine lining and significantly decrease bleeding. When medicines are insufficient or unsuitable, procedural options are considered.

Endometrial ablation reduces bleeding by treating the uterine lining, but is recommended only if childbearing is complete. If fibroids are the cause, procedures like myomectomy (fibroid removal) or uterine artery embolisation may be advised.

When all other options have failed, and the woman does not want to continue being fertile, a hysterectomy, also known as the removal of the uterus, is the last resort.

If you are soaking pads every hour for several hours, feeling faint, extremely weak, or bleeding between periods or after menopause, consult a doctor without delay. Heavy menstrual bleeding is common, but suffering silently is not necessary. With proper evaluation and personalised treatment, most women regain control of their cycles and their quality of life. Consult experienced doctors at UMC Hospitals to seek heavy periods treatment in Navi Mumbai.