Heavy or Prolonged Periods
Heavy bleeding can affect energy, iron levels, daily activities, and quality of life. Evaluation focuses on the pattern of bleeding and possible causes.
Gynecology
Abnormal Bleeding & Period Problems
Heavy, irregular, painful, or unexpected bleeding deserves a thoughtful evaluation—not simply reassurance that it is “normal.”
Irregular or Unexpected Bleeding
Cycles that become unpredictable, bleeding between periods, bleeding after sex, or bleeding after menopause should be discussed with your gynecologist.
Fibroids, Polyps & Adenomyosis
Structural conditions such as fibroids and polyps, as well as adenomyosis, can contribute to heavy or painful bleeding and may have medical or procedural treatment options.
Hormonal & Life-Stage Changes
Ovulatory changes, PCOS, contraception, perimenopause, thyroid disorders, pregnancy-related conditions, and other factors can change bleeding patterns.
Evaluation
Depending on your situation, evaluation may include a detailed history, pelvic examination, pregnancy testing, blood work, ultrasound, or endometrial sampling.
Treatment Options
Treatment is individualized and may include observation, medications, hormonal options, an IUD, or office and surgical procedures when appropriate.
Common Questions
What Patients Often Want to Know
When should I call promptly?
Very heavy bleeding, fainting, severe pain, bleeding during pregnancy, or symptoms that feel urgent warrant prompt medical attention. For a medical emergency, call 911 or seek emergency care.
Is postmenopausal bleeding normal?
Bleeding after menopause should be evaluated. There are several possible causes, and assessment helps determine what is responsible.
Can heavy periods cause anemia?
Yes. Ongoing blood loss can contribute to iron deficiency and anemia, which may cause fatigue, weakness, shortness of breath, or other symptoms.
Individualized Care, Clear Guidance
Symptoms can have more than one cause, and the right evaluation or treatment depends on your history, examination, goals, and preferences. Dr. Allison Alexander works with patients to understand what is happening and choose an appropriate next step together.
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