Heavy menstrual flow: causes and how to reduce it

Heavy menstrual flow is characterized by the greater amount of blood lost during the menstrual period, which means that pads or menstrual collectors must be changed/emptied every hour. Furthermore, while the normal menstrual period lasts between 3 and 5 days, the heavy flow lasts for more than 7 days and is usually accompanied by some symptoms such as strong cramps and excessive tiredness.

Therefore, if a woman notices that she changes the pad every hour, that the menstrual cup fills up very quickly, when there are symptoms and when some activities are no longer carried out during the menstrual period due to fear of leaks, it is important to consult a gynecologist. so that tests can be carried out that can identify the cause of the increased flow and, thus, the most appropriate treatment can be initiated, also preventing the development of anemia.

Main causes

The main causes that can cause an increase in menstrual flow are:

1. Hormonal changes

Changes in estrogen and progesterone levels, which are the main female hormones, are the main causes related to increased menstrual flow. Thus, when there is an imbalance in hormonal levels, it is possible to notice changes in the flow. Typically, high estrogen levels and low progesterone levels are responsible for heavier menstrual flows.

2. Use of copper IUD

The copper IUD, also known as the non-hormonal IUD, is an effective contraceptive method that is inserted into the uterus and prevents possible pregnancy. However, despite being considered an advantageous method with few side effects, as it does not release hormones, it is common for there to be increased menstrual flow and intense cramps during menstruation. See what the main advantages and disadvantages of the copper IUD are.

3. Gynecological changes

Some gynecological changes such as fibromas, fibroids and polyps in the uterus, pelvic inflammatory disease, changes in the cervix and endometriosis, for example, can increase menstrual flow. It is important that these changes are identified as soon as the first signs and symptoms appear, as this makes it possible to prevent complications.

4. Use of anticoagulant medications

Frequent use of anticoagulant medications can promote increased menstrual flow, as the factors responsible for stopping excessive bleeding are not activated. Find out more about anticoagulants.

How to reduce menstrual flow

To reduce heavy menstrual flow, it is important to follow the gynecologist’s instructions, who may recommend the use of medications that help alleviate symptoms. Furthermore, the use of iron supplements may be recommended by your doctor, as anemia is common as a result of heavy flow. Learn more about iron supplements.

It is also important to carry out specific treatment for the cause of the intense flow, and in some cases it may be recommended by the doctor to carry out surgical procedures, especially when the intense flow is due to the presence of polyps, fibroids, cysts or fibromas, in addition to being able to Hormone replacement, IUD removal and/or contraceptives may be indicated.