Understanding Heavy Monthly Bleeding The Most Recent on Lighter Periods

 

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Dr. Chris DeStephano Discusses Abnormal Uterine Bleeding

Video taken from the channel: Mayo Clinic


Causes In some cases, the cause of heavy monthly bleeding is unknown. A number of common conditions may contribute, including hormonal imbalance, ovarian dysfunction, uterine fibroids (noncancerous tumors) and underlying bleeding disorders. When your body doesn’t release an egg, your uterus doesn’t create a thick lining. This can result in lighter periods or skipped periods altogether. You may also experience irregular periods if you.

Early periods are usually lighter and may only involve spotting. They become more regular when a person is in their 20s and 30s. In their late 30s and 40s, people may develop heavier and shorter.

Hormonal changes during ovulation may cause bleeding that is much lighter than a regular period. Ovulation bleeding generally refers to bleeding that occurs around the. There are two major reasons for very prolonged/heavy periods: hormonal and what I call “structural”. Here at WebMD we get questions about prolonged and heavy bleeding just about every day, so it seems like a good time to share information about some of the causes of “too-heavy periods” and other types of abnormally heavy vaginal bleeding.

Menorrhagia is the medical term for unusually heavy or long menstrual periods. Many women have heavy flow days and cramps when they have their period. But. Women with very heavy bleeding can take a 5-milligram dose, two times a day, from day 5 to 26 of their menstrual cycle. Its side effects are similar to that of hormonal birth control methods.

Spotting is lighter bleeding than a normal flow. It generally doesn’t require much protection from a pad or tampon. Many causes of spotting. Periods stop during pregnancy, but it isn’t unusual for there to be spotting or light bleeding in the first trimester of pregnancy. Up to one in four women experience some bleeding during.

Polycystic ovary syndrome (PCOS) is another possible heavy-bleeding cause. PCOS is a hormonal disorder that can make your periods last a long time or.

List of related literature:

Heavy irregular vaginal bleeding is quite common around the time of the menopause because the endometrium is exposed to oestrogens, even though the ovaries are no longer ovulating.

“Essential MCQs in Obstetrics and Gynaecology for Medical Students” by Diana Hamilton-Fairley
from Essential MCQs in Obstetrics and Gynaecology for Medical Students
by Diana Hamilton-Fairley
PasTest, 2003

Constant estrogen Secretion by the ovarian follicle thickens the endometrium so that it eventually sheds, resulting in the irregular bleeding that is common in the first years following menarche.

“The New Harvard Guide to Women's Health” by Karen J. Carlson, Stephanie A. Eisenstat, Stephanie A. Eisenstat, M.D., Terra Diane Ziporyn, Alvin & Nancy Baird Library Fund, Harvard University. Press
from The New Harvard Guide to Women’s Health
by Karen J. Carlson, Stephanie A. Eisenstat, et. al.
Harvard University Press, 2004

Fibroids may be the cause of heavy or prolonged bleeding in ovulatory women, they may aggravate the bleeding that results from anovulation or other causes, or they may represent only an incidental finding.

“Clinical Gynecologic Endocrinology and Infertility” by Marc A. Fritz, Leon Speroff
from Clinical Gynecologic Endocrinology and Infertility
by Marc A. Fritz, Leon Speroff
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011

The most common causes of abnormal bleeding in reproductive-age women are pregnancy complications, anovulatory disorders, and benign pelvic pathology.

“Textbook of Family Medicine E-Book” by David Rakel, Robert E. Rakel
from Textbook of Family Medicine E-Book
by David Rakel, Robert E. Rakel
Elsevier Health Sciences, 2011

The defective follicular development may cause the levels of oestrogen and progesterone to become subtly unbalanced, and this is the cause of the heavy bleeding.

“The Complementary Therapist's Guide to Conventional Medicine E-Book: A Textbook and Study Course” by Clare Stephenson
from The Complementary Therapist’s Guide to Conventional Medicine E-Book: A Textbook and Study Course
by Clare Stephenson
Elsevier Health Sciences, 2011

Bleeding in premenopausal women is usually described as excessive flow at the time of menstruation.

“Family Medicine: Principles and Practice” by A.K. David, S.A. Fields, D.M. Phillips, J.E. Scherger, Robert Taylor
from Family Medicine: Principles and Practice
by A.K. David, S.A. Fields, et. al.
Springer New York, 2002

Occasionally cycles may be anovulatory, with heavy blood loss because the endometrium has become hyperplastic under the influence of oestrogen.

“Clinical Pharmacy and Therapeutics E-Book” by Cate Whittlesea, Karen Hodson
from Clinical Pharmacy and Therapeutics E-Book
by Cate Whittlesea, Karen Hodson
Elsevier Health Sciences, 2018

• heavy periods—if a woman’s normal monthly periods (which occur due to shedding of the lining of the womb, known as the endometrium) become increasingly heavy, they may need treatment.

“Oxford Handbook of Surgical Nursing” by Mark Radford, Alison Smith, Maria Kisiel
from Oxford Handbook of Surgical Nursing
by Mark Radford, Alison Smith, Maria Kisiel
Oxford University Press, 2016

The uterus needs to be investigated in premenopausal women because of the probability of finding structural causes of the bleeding such as fibroids and polyps.

“Clinical Ultrasound, 2-Volume Set E-Book: Expert Consult: Online and Print” by Paul L Allan, Grant M. Baxter, Michael J. Weston
from Clinical Ultrasound, 2-Volume Set E-Book: Expert Consult: Online and Print
by Paul L Allan, Grant M. Baxter, Michael J. Weston
Elsevier Health Sciences, 2011

Moreover, for a large number of women, menstrual bleeding gets considerably heavier in the forties, either because of the presence of fibroids or because of hormonal fluctuations preceding menopause.

“Woman: An Intimate Geography” by Natalie Angier
from Woman: An Intimate Geography
by Natalie Angier
Houghton Mifflin Harcourt, 1999

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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23 comments

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  • My periods was 8days ago, the flow wasn’t a heavy flow, I.had it for two days and on the 6th day I started spotting now on the 8th day I have clotted blood in the spotting (mind you I am just 35years) please I need urgent answer, Is everything alright with me? Thank you in anticipation of the answer to my worried

  • Please help, when I wipe there’s always blood that comes out but not actually in the toilet! I’m not on my period yet…

    (Sorry if this sounds gross ��)

    Edit: ok so it turns out I just started my period lololol

  • I’ve been heavily bleeding for a month and half getting dizzy spells now. I really don’t want to go on birth control because my husband and I have been trying to get pregnant

  • I’m 36 and trying or my first child but because of heavy periods and heavy mid cycle bleeding around my ovulation time I have not gotten pregnant and I yearn to be a motor but don’t want to go down the hesterectomy but no help is given apart from Metformin to help but after 6 months it’s just as bad if not worse now, and all I want is to calm them down to get pregnant

  • It’s morning here. I have to get up. But I’m really scared to get up from my bed. This time my period is very heavy. What if there are bloods all over my bed?? help I’m dying!!!

  • This is my second period it’s 11 days and not stopped it’s not that heavy it’s medium flow help me i feel soo creep blood flows like so uncomfortable I’m 14 btw

  • oh my god i am 12 and i have to change my large size pad every hour my doctor says i might have to go on birth control if the multivitamin doesn’t help

  • Thanks for the Video! Sorry for chiming in, I would appreciate your thoughts. Have you thought about Yonlijah Seyatalie Release (erm, check it on google should be there)? It is a great exclusive guide for getting rid of uterine fibroids without the headache. Ive heard some extraordinary things about it and my buddy got astronomical results with it.

  • I was always told in your teen years that your period is normal to be irregular. I first had my period at 11, i became regular shortly after. Then when i hit 13 or 14, i stopped seeing my periods all together. And if i did have them, it would only be for a couple hours or a day or two. Then like 6 months between�� idk whats going onn

  • Last month I was 7 weeks pregnant but it was missed abortion after I got 20 days period after the first week didn’t bleeding after next heavy bleeding start sir please give a solution if any problems sir

  • Why God For Giving us Periods at the age 11 �� We Might get Pregnant in a young age and Get in Big trouble from our loveing Families. I Say at age 19 Or 20 Maybe that will be okay? Amen ��

  • I have only had my period 2 times a YEAR since I started my cycle. it’s been like 2 years and my doctor wont do anything since my hormones are fine.
    Edit: I’m a virgin

  • Leviticus 15:19 says, “When a woman has her regular flow of blood, the impurity of her monthly period will last seven days, and anyone who touches her will be unclean till evening.” Similarly, Leviticus 15:24 says. “If a man lies with her and her monthly flow touches him, he will be unclean for seven days; any bed he lies on will be unclean.” Finally, Leviticus 20:18 declares, “If a man lies with a woman during her monthly period and has sexual relations with her, he has exposed the source of her flow, and she has also uncovered it. Both of them must be cut off from their people.” As a result of these Scriptures, some hold that a married couple should not have sex while the wife is having her period.

    The problem with this view is that if the Scriptures are applied consistently, even touching a woman who is having her menstrual flow would be forbidden. Further, according to Leviticus 15:20-23, even touching something that the woman has also touched would be forbidden. Do these laws apply to us today? No, they do not. Why? It is important to remember the purpose of the Old Testament laws concerning blood. In the sacrificial system, blood was sacred (Leviticus 17:11). A woman’s “uncleanness” during her period was symbolic of the value placed on blood. As a result, contact with a woman who was having her period was forbidden.

    Christians today are not under the Old Testament ceremonial law (Romans 10:4; Galatians 3:24-26; Ephesians 2:15). There no longer is a sacrificial system. Jesus’ blood sacrifice paid the penalty for sins once and for all. The Levitical ceremonial laws do not apply today. There is no biblical reason why a married couple cannot have sex during the wife’s period. Some doctors do not recommend it from a medical perspective, but there are no proven “dangers” of having sexual intercourse during a woman’s period. Usually women have no desire to have sexual relations during their period, so that is definitely another thing to consider. Basically, this issue must be decided by a husband and wife in the spirit of “mutual consent” as 1 Corinthians 7:5 describes.

  • I’ve had my period for abt 2 1/2 months I’m 16 and doctors gave me birth control which only worked for abt a week and now it just makes me feel gross and I’m still bleeding and had multiple doctors appointment for then just to tell me the same things someone please help

  • Nice video content! Apologies for chiming in, I would appreciate your thoughts. Have you ever tried Yonlijah Seyatalie Release (Sure I saw it on Google)? It is a great one of a kind product for getting rid of uterine fibroids minus the headache. Ive heard some decent things about it and my cousin got astronomical success with it.

  • So I have PCOS couldn’t go to the doctor due to the pandemic, I missed my period for 4 months. Now that I have it it’s been going on for 14+ days. my mother isn’t taking me seriously but I’m really concerned.. does anyone know something?

  • I Hade My Periods On This Month But Now After 1 Week It Starts Bleeding I’m So Worry About It And It’s Just A Light Bleeding Please Someone Help Me With It

  • I havent gotten a period in almost 3 months but pregnancy tests came back negative…but recently I’ve had a few hours with very minimal spotting then it just stops and has only happened once or twice…I’m not sure what to do especially since drs are really only wanting super important cases rn

  • Plz guide me I got mc on 16 th Oct but I don’t get my period properly n after 7 days it’s started again I wanted to know whethet it normal how many days to come n stop. Plz rely me

  • I’m just here getting ready in case I unexpectedly get my period lmao
    My mum bought a whole lot of pads for my sister and they’re filling up the garage which is the only place where I can do skipping

  • Okay guys so I’m a medical student and I’ve been through this, what I am suggesting you right now do give it a try..
    Don’t go for hormonal/contraceptive pills.
    Once you get 2_3 days heavy bleeding start taking 250mg Azithromycin pill for 3 days (yess you heard it right, that’s antibiotic!!!)
    It will prevent your blood loss ASAP.
    Nothing I repeat, nothing worked for me..
    I’ve tried Ponston Forte to Diane35..
    These just mess with your hormones even more.Try this antibiotic,
    Your endometrium and uterus might get infection when you start your period every time..so just try it for even one day maybe and tell me if it works:)

  • hi i’m on my period
    I feel like my period blood is abnormal cause it has this big blood round blood or something idk? btw, i have never seen this kind of blood from me before, cause i have seen my blood flows regular from the past past months. And it came back but it wad formed into a weeird shape, bleh. nevermind

  • My periods are never regular, never been regular always heavy, long, painful I once bled for 4 months with only 2 days of non heavy bleeding.. Literally just want to be sterilised. SOS