Heavy Menstrual Bleeding

Women's Healthcare Group -  - Obstetrics

Women's Healthcare Group

Obstetrics & Gynecology located in York, PA

Many women experience heavy menstrual bleeding, but if your bleeding is so heavy that it keeps you from going to work or doing the things you enjoy, then it may be time to get help. Women’s Healthcare Group in York, Pennsylvania, provides treatment to help mitigate your heavy menstrual bleeding and improve your quality of life. Call the office today or request an appointment online.

Heavy Menstrual Bleeding Q & A

What is Heavy Menstrual Bleeding?

Menstrual bleeding that’s abnormally heavy or goes on abnormally long is medically referred to as menorrhagia. Heavy menstrual bleeding is common, with nearly one-third of women seeking help for their heavy flow. Your heavy bleeding can keep you from your usual activities and be a sign of a more serious health issue, and should be evaluated by the specialists at Women’s Healthcare Group.

When is Heavy Menstrual Bleeding Considered “Heavy”?

Many women experience a heavy menstrual flow, but certain conditions indicate a problem.

Common symptoms that may indicate an abnormally heavy menstrual flow include:

  • Bleeding longer than seven days
  • Soaking through a pad or tampon in an hour for several hours in a row
  • Needing to change your pad or tampon during the night
  • Doubling up on pads
  • Passing large blood clots


Women with heavy menstrual bleeding may also develop anemia, which can cause fatigue or shortness of breath.

What Causes Heavy Menstrual Bleeding?

Your heavy menstrual bleeding may be due to any number of causes. Some of the most common include:

  • Fibroids
  • Polycystic ovary syndrome
  • Endometriosis
  • Polyps
  • Irregular ovulation
  • Bleeding disorder
  • Pelvic inflammatory disease
  • Cancer
  • Ectopic pregnancy or miscarriage


Certain medications, such as anticoagulants, may also increase your menstrual bleeding.

However, in many cases, the cause of your heavy bleeding may not be known.

To determine the underlying cause of your heavy menstrual bleeding, your specialist at Women’s Healthcare Group conducts a comprehensive examination that includes:

  • Discussion of your symptoms and menstrual cycle
  • Review of your past and present medical and surgical history
  • Pregnancy history
  • Current medications and birth control


Your specialist may also recommend special tests and exams to identify the underlying cause of your heavy menstrual bleeding, such as an ultrasound, MRI, or hysteroscopy.  

What Treatments are Available for Heavy Menstrual Bleeding?

Treatment for your heavy menstrual bleeding depends on a number of factors, including the severity of your symptoms, the underlying cause, and your medical and health history. Your specialist may recommend various medications to help control pain or bleeding, such as:

  • Hormonal birth control
  • Hormone therapy
  • Gonadotropin-releasing hormone agonists
  • Tranexamic acids
  • Nonsteroidal anti-inflammatory medications


If medication fails to improve your bleeding, your specialist at Women’s Healthcare Group may recommend a surgical procedure to improve your symptoms, such as:

  • D & C
  • Endometrial ablation
  • Uterine artery embolization
  • Myomectomy
  • Hysterectomy


The type of surgical procedure you need depends on the underlying cause of your heavy bleeding.

What is Endometrial Ablation?

The experts at Women’s Healthcare Group perform endometrial ablation at the office. During the procedure, your gynecological professional places a special device in your uterus, which sends radiofrequency energy to your endometrial tissue to destroy it and reduce your bleeding. You may experience some cramping and vaginal discharge after the procedure but should be back to your usual self within a day.

You should start to notice an improvement in your menstruation within three months after the procedure. In addition to a lighter menstrual flow, many women also report an increase in energy, better moods, and fewer symptoms.

Endometrial ablation isn’t recommended for women who have future pregnancy plans.

To get help for your heavy menstrual bleeding, call Women’s Healthcare Group today or schedule an appointment online.