The cause of heavy bleeding during menstruation
Dr. Azita Naseri
TehranObstetrics and Gynecology Specialist
Checking the cause of heavy bleeding during menstruation
The cause of heavy bleeding during menstruation may be different for each person, which we intend to examine in this article. If you also want to know the cause of heavy bleeding during menstruation, it is recommended to pay attention to the following article.

Heavy bleeding during menstruation
Heavy bleeding during menstruation is one of the problems that may happen to any woman. It is necessary to know the cause of heavy bleeding during menstruation in order to treat it, because excessive bleeding can lead to problems such as severe anemia.
In some cases, the cause of heavy bleeding during menstruation is unknown, but in other cases, it can have causes including the following:
Imbalance of hormones
The imbalance of hormones in the body can be the cause of excessive bleeding during menstruation. Some diseases can disrupt the balance of hormones, among which polycystic ovary syndrome, obesity, insulin resistance, and thyroid can be mentioned.
Ovarian dysfunction
If the ovaries do not ovulate during the menstrual period, it will not function like a normal menstrual cycle and the hormone progesterone will not be produced, which will lead to an imbalance of hormones and eventually bleeding.
Uterine fibroids and polyps
Fibroids are benign tumors in the uterus that may appear over time. Uterine fibroids can lead to abnormal or prolonged bleeding during menstruation.
Also, uterine polyps may cause severe or long-term bleeding during menstruation.
Adenomyosis
This situation happens when the glands in the endometrial layer sink into the muscles of the uterus and often causes heavy bleeding and painful menstrual periods.
Intrauterine device (IUD)
Severe menstrual bleeding is a well-known complication of using an intrauterine device that is used to prevent pregnancy. In these cases, the doctor can help you to replace other methods of pregnancy prevention.
Complications of pregnancy
The period of heavy menstrual bleeding can also be for abortion. Among other causes of heavy bleeding during pregnancy, we can point out that the place of the placenta is not normal, including the placenta.
Cancer
Uterine cancer as well as cervical cancer can also cause heavy bleeding during menstruation. Especially if you have gone through menopause or had an abnormal pap test.
Inherited bleeding disorders
Some bleeding disorders, including von Willebrand's disease, which is a condition in which the important factor in blood clotting is reduced or disturbed, can also be the cause of heavy bleeding during menstruation.
Drugs
Some drugs, such as anti-inflammatory drugs, hormonal drugs such as estrogen and progestin, as well as anticoagulant drugs such as warfarin (Coumadin and Johnteven) or enoxaparin (Levnox) can also cause heavy or long-term bleeding during menstruation.
Other diseases
Some other diseases, including types of liver and kidney disease, may also cause heavy bleeding during menstruation.
Heavy bleeding during the first period
Usually, it is difficult and painful for many of them with the first period of girls, which occurs due to sexual maturity.
In most cases, the first period occurs without ovulation, which is why the bleeding is heavy.
With the start of ovulation, the periods become normal. Some girls also have a problem with bleeding and they notice it with the onset of menstruation.
Complications of heavy menstrual bleeding
Severe and prolonged menstrual bleeding causes a lot of problems, so it is necessary to find the cause and also remove the cause of heavy bleeding during menstruation.
Also read about: vaginal fungal infection
Among the most important problems caused by heavy menstrual bleeding, the following can be mentioned:
Anemia: Heavy menstrual bleeding can cause anemia, followed by a decrease in the number of red blood cells. Red blood cells are used to carry oxygen to tissues.
Iron deficiency anemia occurs when your body uses its iron reserves to produce red blood cells to make more hemoglobin so that it can carry oxygen through red blood cells.
Heavy menstrual bleeding can decrease iron levels and increase the risk of iron deficiency anemia. Symptoms caused by anemia include paleness, weakness, and fatigue.
Of course, it should be noted that diet plays an important role in iron deficiency anemia, but this problem is exacerbated by heavy menstrual bleeding.
Severe pain: Along with heavy menstrual bleeding, you may also experience severe pain. Sometimes the pains caused by bleeding are so severe that they need further evaluation by a doctor.

Summary
Heavy bleeding during menstruation is one of the problems that may happen to any woman.
Knowing the cause of heavy bleeding during menstruation is necessary to treat it, because excessive bleeding can lead to problems such as severe anemia.
In some cases, the cause of heavy bleeding during menstruation is unknown, but in other cases, it can have causes such as various diseases, side effects of drugs, pregnancy side effects, hormonal imbalance, etc.
In some cases, it is necessary to consult a specialist doctor for treatment. Heavy and prolonged menstrual bleeding causes many problems
For this reason, it is necessary to find the cause and also remove the cause of heavy bleeding during menstruation.
Among the most important problems caused by heavy menstrual bleeding, we can mention anemia and severe menstrual pain.
For more information in this field, you can refer to gynecology doctor and also to Dr. Azita Naseri site.