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Menstrual Health

Heavy Periods — Causes & Treatment in Maryland

Menorrhagia — abnormally heavy menstrual bleeding — affects 1 in 5 women. It is not normal and always has an identifiable cause. Preferred Gynecology evaluates and treats thoroughly.

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Common Signs & Symptoms

  • !Bleeding lasting > 7 days
  • !Soaking a pad or tampon every hour for several hours
  • !Passing blood clots larger than a quarter
  • !Anemia from blood loss
  • !Fatigue and weakness from iron deficiency

What Causes This?

  • •Uterine fibroids (most common)
  • •Endometrial polyps
  • •Adenomyosis
  • •Coagulation disorders (von Willebrand disease)
  • •Hormonal imbalance — anovulation, thyroid
  • •Endometrial hyperplasia or cancer (less common)

Treatment Approaches

Medical Management

Tranexamic acid, NSAIDs, hormonal contraceptives, and GnRH agonists.

IUD (Mirena)

Hormonal IUD reduces menstrual blood loss by 80–90% — one of the most effective non-surgical treatments.

Endometrial Ablation

Destroys the uterine lining in-office — dramatically reduces bleeding in appropriate candidates.

Hysterectomy

Definitive treatment for women who have completed childbearing.

Frequently Asked Questions

Is it normal to have heavy periods?▾

Extremely heavy periods are common but not normal. They always have a cause — and effective treatment is available.

Related Topics

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