Heavy or abnormal menstrual bleeding is one of the most common reasons women schedule a gynecology visit—yet many live with it for years, assuming it’s normal or something they just have to manage.
If your period feels heavy, unpredictable, or disruptive, your body may be signaling that something isn’t quite right. The good news is that abnormal bleeding is often very treatable, especially when addressed early.
What Is Considered Heavy or Abnormal Menstrual Bleeding?
While every woman’s cycle is different, certain bleeding patterns are considered outside the typical range. You should consider talking with your Premier Women’s Health provider if you experience:
- Periods lasting longer than 7 days
- Bleeding that requires changing a pad or tampon every 1–2 hours
- Passing large blood clots
- Bleeding between periods or after sex
- Periods that suddenly become heavier or more frequent
- Menstrual bleeding that interferes with daily activities, sleep, or work
If you find yourself planning your life around your period, that alone is reason to seek care.
Common Causes of Heavy or Irregular Periods
Abnormal uterine bleeding can occur at many stages of life and may have different causes depending on age, health history, and hormonal changes. Common causes include:
- Hormonal imbalances, including perimenopause
- Uterine fibroids or polyps
- Thyroid disorders
- Bleeding or clotting conditions
- Birth control–related changes
- Stress or significant weight changes
- Pregnancy-related complications
For women in their 40s and early 50s, hormonal shifts can cause periods to become heavier or less predictable—but symptoms should still be evaluated rather than dismissed.
Why Heavy Bleeding Shouldn’t Be Ignored
Heavy menstrual bleeding is more than a quality-of-life issue. Over time, it can contribute to:
- Iron deficiency or anemia
- Fatigue and low energy
- Brain fog or difficulty concentrating
- Shortness of breath or dizziness
- Increased stress and anxiety
Identifying the cause can help prevent these downstream effects and restore a sense of control over your health.
How Heavy or Abnormal Bleeding Is Evaluated
Many women delay care because they worry about what evaluation or treatment might involve. In reality, assessment often begins with simple steps, such as:
- A detailed conversation about your menstrual and medical history
- A physical exam
- Blood work or imaging, if needed
Treatment depends on the cause and your personal goals and may include medication, birth control adjustments, or minimally invasive procedures. Many women improve with conservative, non-surgical options.
When to See Your OBGYN for Heavy Periods
A helpful rule of thumb: If you’ve ever asked yourself, “Is this normal?”—it’s worth asking your provider.
Heavy or abnormal bleeding is common, manageable, and one of the most effective concerns to address with gynecologic care.
Women’s Health Care That Meets You Where You Are
At Premier Women’s Health, our providers care for women through every life stage—from adolescence through menopause. If heavy or irregular bleeding has become part of your routine, we’re here to help you understand what’s happening and explore treatment options that fit your life.
You don’t have to live around your period. To schedule an appointment, visit premierwomenshealthmn.com