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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

Think This Could Be Your Issue?

A proper diagnosis is the first step. Schedule your consultation today.

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