When Your Period Gets Too Heavy: A Silent Alarm Every Woman Shouldn’t Ignore

“Menstruation” is a matter all women should pay attention to. When your period becomes unusually heavy, it could be a warning sign of a serious condition.

But how heavy is considered abnormal? And what symptoms should you watch for? Find the answers here.

Know Before It’s Too Late: When Heavy Periods Are Abnormal

• Bleeding lasts more than 7 days, instead of the usual 4–5 days
• Need to change sanitary pads every hour due to excessive bleeding
• Waking up at night to change pads because of continuous bleeding
• Heavier bleeding than normal even after reaching perimenopause
• Unusually large blood clots passed during menstruation

What Causes Heavy Periods?

• Hormonal Imbalance

Estrogen plays a crucial role in regulating the reproductive system. When hormonal imbalance occurs, it can cause the endometrial lining to thicken, resulting in heavier periods, mood swings, fatigue, and sleep disturbances.

• Uterine Conditions

The uterus sheds its lining during menstruation. Conditions like endometriosis, uterine fibroids, cervical cancer, or polycystic ovary syndrome (PCOS) can lead to abnormal periods.

• Medication Side Effects

Some medications—such as hormone therapy, birth control, blood thinners, and chemotherapy—can disrupt normal menstrual function and cause excessive bleeding.

• Underlying Diseases

Other health issues such as pituitary gland tumors, thyroid dysfunction, or vaginal infections can also affect menstrual patterns.

Diagnosis for Abnormal Heavy Periods

Pelvic Exam

A pelvic exam helps identify reproductive health concerns. The doctor examines the vagina, uterus, and ovaries to check for abnormalities or pain.

Ultrasound

If abnormalities are found during the pelvic exam, an ultrasound—either abdominal or transvaginal—can help determine the underlying cause more accurately.

Other Abnormal Symptoms to Watch For

• Severe Menstrual Cramps

While cramps are common, if they’re intense enough to cause fainting or dizziness, they may indicate a gynecological issue needing immediate attention.

• Unusual Period Appearance

Normal menstrual blood is bright or dark red. Black clots, foul odor, or excessive volume may signal inflammation or infection and require medical evaluation.

• Frequent Urination

This may indicate a vaginal infection or uterine tumor. If you notice unusually frequent urination without consuming diuretics or caffeine, consult a doctor.

• Deep Pain During Intercourse

Persistent deep pain during sex may be a sign of uterine abnormalities and could affect sexual desire as well.

If you experience abnormal heavy periods, intense cramps, or irregular cycles, visit the Obstetrics and Gynecology Department at Synphaet Kanchanaburi Hospital for comprehensive care.

Gynecology Clinic in Kanchanaburi

For appointments or inquiries, call 034-912-888