Heavy periods and menopause

Is the menopause causing heavy periods?

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Heavy periods can be common during the menopause, usually experienced with irregular periods. Fluctuating hormone levels have a knock-on effect on the pattern of menstruation. in this page our menopause expert Eileen Durward discusses the health problems that can be caused by heavy prolonged bleeds, what to look out for and how to ease any pain or discomfort.

An introduction to heavy periods and menopause

In the lead up to the menopause, known as the peri-menopause, many women experience changes to their normal menstrual cycle, including unusually heavy bleeding. This symptom is usually accompanied by irregular periods. A woman may go for several months without a period and then experience particularly heavy bleeding, or may find her periods coming thick and fast.

Aside from the obvious inconvenience of this, heavy bleeding may also lead to further health problems, such as anaemia. This is when there is not a high enough level of iron in the body. This can lead to extreme exhaustion and weakness.

While many women suffer from heavy periods in the lead up to their menopause, it is important to remember that prolonged bleeding should be checked by your doctor. Bleeding for longer than 1 week per month is not healthy.

Why does menopause cause heavy periods?

Your natural menstrual cycle is driven by your hormones. The menopause is the time that your hormone levels fall so that you no longer experience menstrual periods. In the lead up to this cessation, your hormone levels may fluctuate erratically, causing changes to your menstrual cycle, including heavy periods.

During a normal menstrual cycle, the hormone oestrogen is produced to stimulate the thickening of the lining of the womb. When the egg is released from the ovaries, they produce the hormone progesterone.

The interplay of these two hormones means that your periods are regular and not too heavy or light. However, as you approach the menopause, sometimes an egg is not released from the ovaries, although oestrogen is still produced. This means that there is not enough progesterone to balance the effect of oestrogen, leading to heavy periods.

During the menopause, you may encounter other factors which could result in heavy periods, ranging from stress to the side effects of medication. If you suspect that there is an underlying cause to your heavy periods, then it is important to consult a doctor to tackle this.

Diet, lifestyle and home remedies for heavy periods

It is important to remember, that while heavy periods are unpleasant, they are often a normal part of and one of the symptoms of the menopause, which will eventually cease. However, to make this symptom more bearable, there are some home remedies which may help.

Controlling stress could go a long way towards easing your symptom. This is because stress causes changes in your hormone production. During the menopause, further hormone changes are the last thing that you need, as this may trigger heavier periods than normal.

Improving your diet may help as well. Having a diet full of the correct nutrients and vitamins will help your general health and wellbeing, while a diet full of caffeine and refined sugar makes you more susceptible to symptoms such as heavy periods.

It is important to keep your iron levels high if you are experiencing heavy periods, otherwise you could develop anaemia. Iron is found in foods such as dark leafy vegetables and meat. Many women find it necessary to take an iron tonic at this stage of their life.

Are there herbal remedies to help me?

Heavy periods at the start of the menopausal phase in your life can be treated using the herb Agnus castus which has the ability to stablise your hormones. This is especially so if you also suffer from irregular periods.

Agnus castus is a herb that is best known for treating the symptoms of PMS in younger women, but can also be useful for helping balance the hormones during the early stages of menopause, especially if symptoms such as breast tenderness, bloating or irritability are present.

"Excellent product. Unlike a lot of Agnus Castus supplements, this one is concentrated enough to make a real difference. It helps to manage my period symptoms and I couldn't live without it."

If you have been experiencing heavy and prolonged periods for some time, and if you are beginning to feel fatigued and weak, it is important to seek the attention of your doctor.

What about conventional medicine?

Your doctor will discuss which treatment would be most effective for you. He may suggest a contraceptive pill or HRT which would influence your hormones in order to regulate your periods. However, it is important to be aware of the side effects of these treatments. He may also give you medication to stop flooding quickly, if your periods are very heavy or prolonged.

If you are worried that your heavy periods are caused by an underlying health issue or are resulting in anaemia, then it is also important to visit your doctor. Heavy periods are not something which should be ignored, as loss of blood can be detrimental to health.

57 Comments

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Jackie — 06.05.2021 01:56
landjak17@gmail.com
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Jackie — 06.05.2021 01:56
landjak17@gmail.com
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Aradhyaa — 15.04.2021 15:13
I am 18 years old i have been spotting for a month is this a big issue?
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- Emma — 16.04.2021 09:13
  Hi Aradhyaa, while this could just be linked to hormones, if this symptoms continues in the same fashion over the next few months, we would say to have a check up with your doctor. Best wishes, Emma
  Reply
Vera — 13.04.2021 03:38
I’m 41 yrs old and mine started out as light spotting for a month, so I went to see my doctor for consult and she advised me to use those mini pills or progestin only pills as i have high blood pressure. In the beginning the pills slows down the bleeding but after three weeks it came back heavy and clotty as in every time i pee there’s blood gushing and clots coming at the same time to the point that i have to wear depends diaper at night so I don’t soak the bed. Is this still normal? By the way i had my blood work done and pelvic ultrasound and they found a small cyst on my ovaries, my doctor said that it is fine but I wonder if the cyst is contributing to the bleeding or why is it not stopping. If this is a sign of early menopausal?
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- eileen — 13.04.2021 13:53
  Hi Vera I am very sorry to hear about your situation. Unfortunately, however, I cannot undertake to advise you, given the circumstances. As you are still being treated by your doctor, it is really important that you let them know that the medication they prescribed is no longer helping you and you are becoming concerned about the continual bleeding. They should be able to tell you why this may be happening and offer you an alternative treatment plan.
  Reply
Tracy — 25.02.2021 02:53
I am 49 years old and desperately want a baby, but I went 4 months without a cycle and now my period won't stop. It's going on 1 month
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- eileen — 25.02.2021 09:27
  Hi Tracy It is important to get this checked out by your doctor. Prolonged periods can quickly cause anaemia and this can result in fatigue, anxiety, hair loss and even joint aches. Your doctor can test for low iron and you may also be able to ask for a hormone test to see if pregnancy is still possible.
  Reply
Edwina — 06.10.2020 06:02
Love the conventional medicine section. Apparently all doctors are he. Not sexist in the slightest
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Phaedra — 28.05.2020 02:59
This information is very helpful! Thank you very much!
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Phaedra — 28.05.2020 02:59
This information is very helpful! Thank you very much!
Reply
Jackie — 27.09.2017 11:14
Not took a period for few months and now it's came back heavy and also have jelly shaped little blood clots is this normal I've had this period for a nearly a week now is this normal I'm aged 48
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- Eileen — 27.09.2017 14:09
  Hiya Jackie, Irregular or erratic periods are common on the approach to the menopause, some women report that they can go from heavy to light and stop and start. Periods can come back if you change or improve your diet or exercise regime. However, if they are heavy or you have clotting, it is best to get it checked out by the doctor. It is usually nothing to worry about and just the way the hormones are falling. An iron tonic could be helpful here.
  Reply
Jenny — 24.09.2017 10:20
Hi I am 54 and not seen a period for 9 months, then the start of September I seen a period for 5 days then a week later it came again and really heavy, I am losing clots and just feel so drained, I have had long intervals for about 3 years now and the period has been heavy but nothing like this, I hope this will be the last one
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- Nora rodriguez — 25.09.2017 12:40
  Hi my period stopped for 3 months and returned a month ago verry heavy with clots and dr gave me hormone pills witch stopped it for 10 days but still bleed slightly, after the pills were gone im bleeding more heavly now w vlots finding my self changing 4/6 times at night verry heavly now im bacl to the dr office again i just turned 50 in march 2017
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- Jenny — 25.09.2017 12:54
  It's a nightmare to be honest. I seen my dr last year when it happened and was offered tablets but I never took them because I think it was a waste of time as they would only slow things down, then she offered me the coil I said no not at my age lol I asked about a hysterectomy and she said no as I wasn't in a lot of pain so how long will this keep going I just want it to end, I really hope things get better for you also, jenny x
  Reply
- Eileen — 26.09.2017 14:22
  Hi Jenny and Nora, If you are bleeding heavy or experience prolonged periods or clots, although it is common at the start of the menopause. It is not good for you if it continues and it can leave you very fatigued. I often suggest an iron tonic to help. Symptoms are different for each woman and can vary due to health, stress, diet and lifestyle. It is difficult to pin point an end time as such. In the case of heavy bleeding it is important to get some sort of treatment even in the short term if you find it affecting the quality of your life. As over the counter medication such as Tranexamic acid to help stop heavy bleeding or the herbal remedy Agnus castus (this can take 2/3 cycles to work) may not be strong enough anyway.
  Reply
Tracy — 13.09.2017 22:27
Hi I'm in my menapause I stop my period for 3 months but now came on with really heavy bleeding like nothing Iv had before I have fibroids to is this normal
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- eileen — 14.09.2017 09:04
  Hi Tracy This is quite common as your periods start to change but it could also be triggered by the fibroids so it is important to get this checked out by your doctor. This kind of period could also cause low iron so ask your doctor to check for this too.
  Reply
Debby — 11.09.2017 07:07
Hi I am 54 and have been having menopausal symptoms for last few years, but last 6 months I have had bleeding on for 10 days then stop for 7 ot 8 then start again but recently last 3 weeks I have had constant bleeding with maybe a few days break here and there. I am overweight and I am terrified of Dr and tend to make myself sick if I have to go
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- eileen — 11.09.2017 14:36
  Hi Debbie Prolonged bleeding for some women is quite common on the approach to the menopause. However, it is not good for you and you can become low in iron very quickly. This can then cause other health issues such as fatigue, low mood/anxiety, poor sleep, joint pain etc so it is very important that you go and see your doctor. If there are no other issues such as fibroids they can often offer you some kind of medication to stop the bleeding. If you really don't like going why not ask a female friend or relative to go with you for support. This can often be easily treated so please don't keep putting it off.
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