Very heavy blood flow during periods is called menorrhagia. Lots of women experience what they think is heavy blood flow, but in menorrhagia the blood flow is so heavy that even daily activities become difficult and there is a feeling of extreme tiredness.

Signs and Symptoms

  • Blood flow during periods requires frequent change of sanitary pad – one every hour for a number of hours together.
  • Requiring change of pad in the night
  • Use of two sanitary pads at a time to manage blood flow
  • Inability to carry on with routine activities
  • Anaemia, tiredness and breathlessness
  • Blood clots during periods are bigger than usual

Causes and Risk Factors

  • Hormonal imbalance due to various conditions like PCOS, thyroid dysfunction, obesity, etc.
  • Non-production of eggs by ovaries
  • Fibroids/polyps in uterus walls
  • Birth control devices like IUD
  • Uterine/cervical cancer
  • Other problems with endometrium like adenomyosis


  • The heavy bleeding may be accompanied by painful cramps in the abdomen
  • Patients may become anaemic due to loss of blood


  • Detailed medical history of periods
  • Blood tests
  • Pap smear
  • Biopsy of endometrium
  • Ultrasound of abdomen
  • Hysteroscopy


Initially the doctor will treat the condition with medicines – NSAIDs, birth control pills, etc. The medicine will depend on the patient’s unique condition.

Surgical procedures include:

  • laparoscopic myomectomy
  • Endometrial Ablation (using LASERs on the endometrium)
  • Endometrial Resection (instead of LASER, an electrosurgical wire loop is used to remove the endometrium)
  • Hysterectomy – removal of uterus and cervix


Menorrhagia can be prevented by eating healthy food – especially food rich in iron and vitamins. Regular exercise also goes a long way toward prevention.

Related Blogs & Videos

We are with you in your journey to better health

A consultation with our panel of doctors, specialists and surgeons will help you determine what kind of services you may need to help diagnose and treat your condition. If you or someone in your family or friend’s circle are facing any health issues, please get in touch with us, we are here for you.