Heavy Menstrual Bleeding (HMB) or Menorrhagia is classified as vaginal bleeding which continues for more than 7 days. Most women who suffer from HMB need to change a tampon or pad after less than 2 hours. Some women also pass large blood clots.
It is more common in women over the age of 35, and when women have stopped using the combined oral contraceptive pill. I also see many young women who have developed HMB, and there are many effective treatments, targeted at the underlying problems.
When HMB is also left untreated, will affect the quality of your life, and can leave you not only tired, but will lead to becoming anaemia.
The causes of HMB
This is a common condition, and it is important that you ask your GP to measure your FBC and Iron levels, and also arrange a scan. Tranexamic acid and the combined oral contraceptive pill are excellent medical treatments, and will improve your symptoms.
You will benefit from a FBC and Iron levels, and a scan. Most women can be medically managed with Tranexamic acid and or a Mirena coil. You also could opt for a NovaSure procedure.
You need to ask your GP to refer you to a Gynaecologist, who will investigate your bleeding, by scan and either by a hysteroscopy or an endometrial biopsy. Because of your age, you are at a higher risk of uterine cancer, and this needs to be excluded.
This is very common, the combined pill resulted in light withdrawal bleeds. Tranexamic acid will help you.