HomeAnswersObstetrics and Gynecologymenstrual irregularity

What causes intermittent and heavy flowing periods?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My menstrual period has changed a lot for the past two months. I noticed that it has become intermittent and may last for two weeks with super heavy flows with blood clots. Last month, it started suddenly with heavy flow with big blood clot, and I thought it was my first day.

However, it stopped and went back again during the first week of this month. Until now, I still have my period and I am starting to get very worried because I am still on heavy flow. I am almost 40 years of age.

Please help.

Thank you.

Answered by Dr. Nadia Khan

Education:

MBBS

Professional Bio:

Dr. Nadia Khan is an Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and gynecological disorders. She provides comprehensive services including prenatal and postnatal care, infertility management, menstrual disorder treatment, and advanced gynecologic surgeries.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Menstrual irregularities, including heavy flow with clots, are very common in your age group, and it could be due to endometrial hyperplasia (one of the reasons). I would advise you to get a pelvic scan done to see the endometrial thickness and how it is. If it is normal, then you might need hormonal pills to regulate your cycle.A

A hormonal intrauterine device (IUD) is the best option for regularity and reducing heaviness. But I would advise seeking medical help in person, getting yourself assessed in detail, and then getting treatment.

I hope this information is helpful.

Please let me know if you have any further questions, and I would be happy to assist you.

Thank you.

Answered by Dr. Nadia Khan
Medically reviewed by Dr. Divya Banu M
Published At August 15, 2019
Reviewed At June 24, 2026

Education:

MBBS

Professional Bio:

Dr. Nadia Khan is an Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and gynecological disorders. She provides comprehensive services including prenatal and postnatal care, infertility management, menstrual disorder treatment, and advanced gynecologic surgeries.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Nadia Khan is an Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and gynecological disorders. She provides comprehensive services including prenatal and postnatal care, infertility management, menstrual disorder treatment, and advanced gynecologic surgeries.

This doctor is not available for online consultations on the platform anymore.

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