Many people don’t know whether or not or not our interval is “regular”. It’s no marvel, since not solely is everybody totally different, however the stigma nonetheless retains many people from asking questions or discussing what we undergo each month with family and friends.
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However there’s equivalent to factor as bleeding an excessive amount of. The truth is, round 1 / 4 of girls expertise a medical situation often known as menorrhagia – additionally referred to as heavy menstrual bleeding. That is when your interval is abnormally heavy or extended. Right here’s what it’s essential to know concerning the situation.
What counts as a heavy interval?
Sometimes, throughout a “regular” interval, you lose between 70ml and 80ml of fluid (the equal of round two double espressos). Round 50% of the fluid misplaced is blood. However folks with heavy menstrual bleeding might lose round 160ml-400ml of fluid (rather less than a pint of liquid).
The commonest signs of heavy menstrual bleeding are:
- Bleeding by pads or tampons each one to 2 hours,
- A interval that lasts greater than seven days,
- Passing blood clots bigger than 1 inch (across the dimension of a 10p coin).

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Are heavy intervals dangerous for you?
Regardless of how widespread it’s, most girls with the situation aren’t even conscious they’ve it. Many even assume their interval is “regular”. However this mind-set could be a drawback, as heavy menstrual bleeding can generally be an indication of an underlying difficulty – equivalent to fibroids, endometriosis, or a pelvic an infection or bleeding diseases. A just lately fitted intrauterine gadget (IUD) may additionally quickly trigger heavy menstrual bleeding.
Round two-thirds of girls with heavy menstrual bleeding additionally go on to have long-term iron deficiency anaemia because of this.
Once we menstruate, we lose purple blood cells that are integral for carrying oxygen (a supply of vitality) all through the physique. When you bleed closely each month, you lose extra purple blood cells than regular.
Anaemia can take some time to develop, however could cause a variety of signs that may have a serious impact in your each day life.
Whereas pale pores and skin or lips are tell-tale bodily indicators, an individual with anaemia may additionally really feel extra drained than normal, irritable, dizzy, confused and even depressed. Anaemia may trigger complications, mind fog, elevated coronary heart fee and even weight reduction.
What are you able to do about heavy intervals?
When you suspect you might have heavy menstrual bleeding, it’s vital to talk to your physician as quickly as you’ll be able to. Analysis can take as much as a number of months after you first go to your GP, so it’s vital to not put it off.
Going to your appointment armed with info is all the time helpful. For instance, it’s good to have an thought of your normal blood loss both by utilizing menstrual cups to measure quantity or monitoring what number of sanitary objects you employ each cycle.
Conserving a menstrual diary or utilizing a tracker app may assist, in addition to understanding if the situation runs within the household. When you haven’t carried out this, it’s probably your physician will ask you to trace these items for just a few months earlier than diagnosing you.

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Your physician will be capable of prescribe you sure drugs that will reduce the impact of heavy menstrual bleeding – together with the contraceptive tablet or tranexamic acid (which controls bleeding and helps blood clots). Surgical choices may additionally be wanted ought to the situation be attributable to one other difficulty, equivalent to fibroids.
When you suspect you might have anaemia, it’s equally vital to trace your signs rigorously, particularly how you are feeling each earlier than and after your interval. Many widespread circumstances, equivalent to nervousness, cough, flu, and meals allergy symptoms, have overlapping signs with iron-deficiency anaemia, so asking your physician for a blood take a look at is vital as it is going to let you know whether or not or not you’re anaemic.
When you’re identified with anaemia, iron dietary supplements could also be prescribed to assist your physique generate new purple blood cells. A wholesome, balanced food regimen containing meals excessive in iron – equivalent to darkish meats, chickpeas, beans, leafy greens and nuts – may additionally assist.
Why it’s vital to obtain assist
However as many ladies with heavy menstrual bleeding know, it usually takes far too lengthy earlier than they get the assistance they want. This could imply years of pointless struggling, with the situation affecting all the pieces from their private life, college attendance, participation in sports activities and even their work. Those that develop anaemia, because of this, will expertise much more results on their bodily and psychological well being.
Because of this there must be much more openness and schooling about ladies’s well being. Not solely does this imply speaking extra about what’s and isn’t regular in terms of intervals, it additionally means ensuring healthcare suppliers are correctly educated concerning the indicators and signs of this situation – and the harms that may come from it. Having a extra open dialogue and elevating consciousness might assist extra ladies get the assistance and therapy they want sooner.