What could be the cause of sudden heavy menstrual bleeding?

Question

Hello doctor,

I am a 30-year-old female. I weigh about 191 lbs. I am a mother of a 2-year-old kid and still breastfeeding. No history of PCOD and my periods are regular with a cycle of 28 days. I conceived after three years of marriage life. I had a natural delivery in 2018 and got my regular periods back in March 2019. My period PMS symptoms include bloating, mood swings, and temperaments. Now my problem is for the past three months my periods are super heavy. I am using 10-11 pads per day for the first three days and normal to less in the next three days. This makes me drained and weak. I am unable to sleep properly and cannot do anything. It also leads to bad stomach cramping. Today is my second day of menses and yesterday, I fainted as well. What to do?

Answer 1

Hello,

Welcome to iclinq.com.

I can understand your concern.

The reason for your excess flow could be most probably hormonal, yet if the bleeding continues to be more in subsequent cycles then a pelvic ultrasound should be done to rule out any new pathology in the uterus. Check your Hb (hemoglobin) and thyroid levels (sometimes hyperthyroidism can cause excess flow) because of heavy menses in previous cycles your Hb must have come down, causing this severe weakness and giddiness. Moreover, lactation consumes iron for milk production this would have added up to your anemia. Start iron supplements as soon as possible and take iron-rich food. You can take tablet Tranexamic acid 500 mg twice daily during the cycles to reduce the flow and get a gynecologist's opinion in person if your problem continues.