![]() Heavy menstrual bleeding can cause anemia related to blood loss. Menstrual bleeding that is too heavy or lasts too long can lead to other medical conditions. Examples include cancer of the uterus, bleeding disorders, side effects of medicines, and liver or kidney disease. But other problems also could cause heavy menstrual bleeding. These include fibroids, polyps and adenomyosis. In older women of reproductive age, heavy menstrual bleeding is often caused by problems with the uterus. Teenagers are most likely to have cycles without an egg release during the first year after they have their first period. In teenagers, an irregular period or heavy menstrual bleeding often happens when an egg is not released during a monthly cycle. This can result in heavy menstrual bleeding or unexpected bleeding between periods. If no egg is released, the body does not make enough progesterone. Progesterone is the hormone most responsible for keeping periods regular. Usually, the release of an egg from the ovaries signals the body to make progesterone. Risk factors vary with age and the medical conditions you have. They include liver, kidney and thyroid disease. A number of other medical conditions may cause heavy menstrual bleeding. They include warfarin (Jantoven), enoxaparin (Lovenox), apixaban (Eliquis) and rivaroxaban (Xarelto). Medicines that prevent blood clots also may cause heavy menstrual bleeding. These medicines typically help lessen menstrual bleeding but sometimes cause unexpected bleeding between periods. These include hormonal medicines such as birth control pills that have estrogen and progestin. Some medicines can result in heavy or lengthy menstrual bleeding. These include von Willebrand's disease, a condition in which the blood does not clot properly. Some bleeding disorders that run in families cause heavy menstrual bleeding. Women who have had an abnormal Pap test in the past are at higher risk of cervical cancer. ![]() These cancers can happen before or after menopause. Cancer of the uterus or cervix can cause abnormal uterine bleeding, unexpected or heavy menstrual bleeding. This condition also is known as placenta previa. The placenta may be too low or covering the opening of the uterus, which is called the cervix. Another cause of heavy bleeding during pregnancy includes the unusual location of the placenta, which supplies nutrition to the baby and removes waste. A single, heavy, late period may be due to a miscarriage. IUDs with progestin may ease heavy menstrual bleeding. Talk to your doctor about other birth control options. Heavy menstrual bleeding is a well-known side effect of using a hormone-free IUD for birth control. Intrauterine device, also called an IUD.This can cause heavy bleeding and painful periods. In this condition, glands from the lining of the uterus grow into the wall of the uterus itself. Polyps also can cause spotting or bleeding after menopause. These small growths on the lining of the uterus may cause menstrual bleeding that is heavy or lasts for a long time. Uterine fibroids may cause heavier than normal menstrual bleeding or bleeding that goes on for a long time. They are benign, which means they are not cancerous. These tumors develop during childbearing years. This leads to hormone imbalance and may result in heavy menstrual bleeding or unexpected bleeding between periods. When this happens, the body doesn't make the hormone progesterone the way it usually does during a menstrual cycle. Sometimes ovaries don't release an egg during a menstrual cycle. These include obesity, insulin resistance, thyroid problems and polycystic ovary syndrome, which also is called PCOS. When hormones are out of balance, the lining becomes too thick and sheds by way of heavy menstrual bleeding or unexpected bleeding between periods.Ī number of conditions can cause hormone imbalances. This lining is shed during a menstrual period. The lining of the uterus also is known as the endometrium. This controls the buildup of the lining of the uterus. In a typical menstrual cycle, there's a balance between the hormones estrogen and progesterone. But a number of conditions may cause heavy menstrual bleeding. In some cases, the reason for heavy menstrual bleeding is unknown. ![]() This tissue also is known as endometrial tissue. It also can grow from the surface of the uterus into the walls of the uterus. With adenomyosis, the same type of tissue that lines the uterus is present within the muscles that make up the walls of the uterus.
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