1. Understanding Heavy Periods

   • Heavy periods, medically called menorrhagia, involve excessive menstrual bleeding that can interfere with daily life. Typically, losing more than twice the normal amount of blood or needing to change sanitary protection every hour signals heavy bleeding.

2. Possible Causes

   • Common causes include hormonal imbalances leading to a thickened uterine lining, uterine fibroids or polyps, bleeding disorders, certain medications, and other health conditions like thyroid problems or pelvic infections.

3. When to See a Doctor

   • You should consult a doctor if heavy bleeding lasts for several months, causes fatigue or symptoms of anemia (like tiredness), or if you pass large blood clots or soak through pads/tampons frequently.

4. Diagnostic Tests

   • Your doctor may recommend blood tests to check for anemia or clotting issues, and imaging studies like an ultrasound to look for fibroids or polyps.

5. Treatment Options

   • Medications such as tranexamic acid (an anti-fibrinolytic agent) can help reduce bleeding by slowing clot breakdown. Hormonal treatments, including birth control pills or hormonal intrauterine devices (IUDs), may also regulate or reduce bleeding. In some cases, surgical options might be considered.

6. Lifestyle and Home Care

   • Maintain a balanced diet rich in iron to prevent anemia, track your bleeding patterns, and rest as needed. Seek urgent care if bleeding is very heavy or accompanied by severe pain or dizziness.

7. Relevant Medical Specialties

   • A gynecologist is the specialist to consult for evaluation and management of heavy menstrual bleeding.

8. Importance of Follow-up

   • Regular follow-up is important to monitor treatment effectiveness, manage symptoms, and adjust therapy as needed.

Recommendation: Please schedule an appointment with a gynecologist to discuss your symptoms, undergo appropriate tests, and receive personalized treatment. Early evaluation can help improve your quality of life and address any underlying issues.