Heavy Menstrual Bleeding

May-Grant Obstetrics & Gynecology -  - Obstetrics

May-Grant Obstetrics & Gynecology

Obstetrics & Gynecology located throughout Lancaster & Lebanon Counties, PA

If you have heavy menstrual bleeding, you know how it disrupts your life, whether you need to stay within reach of a bathroom or you avoid physical activity during your periods. The team at May-Grant Obstetrics & Gynecology encourage you to come in for an exam because heavy menstrual bleeding isn’t normal and you shouldn’t have to live with it. To learn whether your bleeding is too heavy, book an appointment online or call the conveniently located Lancaster, Elizabethtown, Columbia, Ephrata, Intercourse, Willow Street, or Lebanon, Pennsylvania, office.

Heavy Menstrual Bleeding Q & A

How Do I Know if I Have Heavy Menstrual Bleeding?

Each woman’s menstrual flow is different, which makes it hard to know when your bleeding is heavier than normal.

If your periods match any of these criteria, your bleeding is too heavy:

  • Bleeding lasts more than 7-8 days
  • Bleeding soaks through one or more tampons or pads every hour
  • Need to wear more than one pad at a time
  • Need to change pads or tampons during the night
  • Pass blood clots that are the size of a quarter or larger


If you can say “that’s me” to any of those criteria, it’s time to schedule an appointment so the team at May-Grant Obstetrics & Gynecology can treat the problem and help you avoid potential health complications like anemia.

What Causes Heavy Menstrual Bleeding?

Heavy menstrual bleeding develops due to a variety of gynecological conditions. A few of the most common include:

  • Uterine fibroids - benign growths of muscle in the uterine wall
  • Uterine polyps - growths that develop on the uterine lining
  • Endometriosis - tissues similar to the uterine lining grow outside the uterus
  • Adenomyosis - uterine lining is present within the uterine wall
  • Irregular ovulation - often caused by polycystic ovary syndrome (PCOS) and hypothyroidism


Heavy menstrual bleeding may also be a symptom of endometrial cancer.

How are Heavy Menstrual Periods Treated?

The team at May-Grant Obstetrics & Gynecology may start your treatment with hormone therapy, either in the form of birth control pills or hormone replacement therapy. You may also be a good candidate for a medication called tranexamic acid, which directly treats heavy menstrual bleeding.

When medications don’t help, you may need a procedure such as:

  • Endometrial ablation - stops bleeding by removing a thin layer of endometrium
  • Uterine artery embolization - used to shrink uterine fibroids when they’re the cause of bleeding
  • Myomectomy - removes uterine fibroids while keeping your uterus intact
  • Hysterectomy - partial or total removal of your uterus


For most underlying problems, a hysterectomy is the last option considered after other treatments have failed. However, it may be the first line of treatment if endometrial cancer causes your bleeding.

Don’t continue to put up with heavy menstrual bleeding, call May-Grant Obstetrics & Gynecology or book an appointment online.