Heavy or Irregular Periods? What Abnormal Bleeding Could Be Telling You
When it comes to your menstrual cycle, “normal” is at best a very general concept, as the process can be much different between women. You may have your own flow rate, duration, and cycle length, along with accompanying symptoms, making for a unique experience.
The same is true for you as an individual. While you may have your own normal patterns, you can still experience month-to-month inconsistencies. When heavy or irregular periods occur, what does it mean?
The team at John A. Whitfield, MD in Fort Worth, Texas, can tell you that there’s a very wide range of conditions that could be behind these variations in your monthly cycle. Visit us for diagnosis and treatment when you’re experiencing changes to your “normal.”
Common causes of abnormal menstrual bleeding
The scope of your menstrual flow in any given month depends on factors ranging from medical conditions to hormone level changes to reactions to medication. Some of the more common causes of heavy or irregular periods include:
- Adenomyosis: tissue from the uterine lining invades the uterine wall
- Bleeding disorders: clotting factor disorders, von Willebrand disease, platelet disorders
- Endometriosis: uterine lining tissue growing outside the uterus
- Hormone imbalances: related to points in the life cycle (puberty, menopause), polycystic ovary syndrome (PCOS), obesity, stress, thyroid disorders
- Intrauterine devices (IUDs): both copper and hormone-based devices
- Medications: aspirin, blood thinners, hormone therapies
- Pelvic inflammatory disease
- Uterine conditions: including fibroids and polyps
Pregnancy problems like ectopic pregnancy or miscarriage can also result in abnormal bleeding.
Am I bleeding too heavily?
Given how your own regular menstrual patterns might vary substantially, it can be hard to know when bleeding crosses the line between heavy normal and heavy abnormal. Some of the signs of heavy bleeding include:
- Saturating a sanitary pad or tampon in less than an hour, or over a period of several hours
- Needing to get up at night to change pads or tampons
- Using tampons and pads together to control the flow
- Menstrual bleeding lasts longer than a week
- Passed blood clots are larger than an inch in diameter
- Feeling short of breath or tired due to the amount of blood you’ve lost
- Menstrual bleeding interferes with your regular daily activities
If you have a normal light flow, your abnormal bleeding level may be less than those described above. It’s important to listen to your body and act when something feels wrong.
When is it time to visit the doctor?
Don’t postpone a visit with Dr. Whitfield if you experience:
- Vaginal bleeding saturates a pad or tampon (or more) in an hour, for more than two consecutive hours
- Between-period bleeding, greater than occasional spotting
- Postmenopausal vaginal bleeding
- Menstrual bleeding that’s exceptionally long or short
- Random, unpredictable menstrual bleeding
Symptoms of anemia (fatigue and shortness of breath) should be investigated promptly.
Contact John A. Whitfield, MD, at our Fort Worth office when you suspect you’re having issues with abnormal bleeding. Call 817-927-2229 to book your appointment now.
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