What causes excessive menstruation? 7 major culprits revealed

Many women feel that their menstrual flow is too heavy. Excessive menstrual flow is not a good thing, but first we need to clarify one question: how much menstrual flow is considered heavy? Doctors believe that normal menstrual bleeding should be 20 to 60 ml, and more than 80 ml is considered excessive menstrual flow. Based on the usage of sanitary napkins, the normal usage is to change them four or five times a day on average, and no more than two packs per cycle (each pack contains 10 pieces). Taking women aged 25 to 40 as an example, abnormally increased vaginal bleeding is mainly related to the following seven factors:

1. Improper contraceptive methods

Sometimes, abnormal vaginal bleeding is related to the contraceptive method used. The most common "trouble" is the intrauterine device. In my country, this is the most common contraceptive method used by women after childbirth. The most prominent problems it brings are shortened menstrual cycles, prolonged menstrual periods, significantly increased menstrual flow, and postmenstrual spotting. In particular, the new generation of active intrauterine devices with copper ions have increased the amount of menstrual bleeding while improving contraceptive efficacy.

2. Genital infection

Inflammation of the reproductive organs is another common cause of abnormal vaginal bleeding. The structure of the female reproductive organs makes them more vulnerable to various pathogenic factors from the outside world. When women are in a state of anxiety, tension, fatigue, etc., which reduces their own defense function, various pathogenic factors may take advantage of the situation and enter, leading to inflammation of the reproductive organs, local blood vessels become fragile, and bleeding during menstruation is not easy to stop, often causing increased menstrual flow and prolonged menstruation. If you feel that your overall condition has been poor recently, with excessive vaginal bleeding accompanied by lower abdominal or lower back pain, increased vaginal discharge, abnormal color or odor, fever, frequent and painful urination, you should consider whether the reproductive organs are infected.

3. Miscarriage or abnormal pregnancy

Abnormal vaginal bleeding in mature women is sometimes related to pregnancy complications. If your menstruation is usually very regular, but is late for more than a week or ten days for no reason, and then it flows like a floodgate, with more blood clots or tissues than usual, and lasts longer than usual, then this is likely to be a small miscarriage.

Similar events are more likely to occur after artificial abortion (whether surgical or medical), especially after medical abortion, there is a 5% to 10% chance of abortion failure or incomplete abortion. In addition, if there is increased vaginal bleeding, panic, dizziness, cold sweats, abdominal pain or even fainting, it may be a sign of ectopic pregnancy.

4. Endometriosis

Endometriosis and adenomyosis, in simple terms, are tissues that should grow in the inner layer of the uterine wall but appear in other locations. These "ectopic" endometriums interfere with the normal functions of the reproductive organs and are often accompanied by various menstrual disorders - prolonged menstruation, excessive menstrual bleeding, premenstrual spotting, secondary dysmenorrhea, etc.

If you find that your menstrual flow is gradually increasing and accompanied by increasingly severe dysmenorrhea, if you feel severe discomfort or even pain when being intimate with your lover, if you find that you are in the prime of your life but your efforts to get pregnant have repeatedly failed...please be aware that you may have endometriosis.

5. Tumor

The most common genital tumor in women of childbearing age is uterine fibroids. The incidence of uterine fibroids is very high, reaching 20% ​​to 25%, but 99.5% of them are benign. The two types of uterine fibroids that cause menorrhagia are mostly myenteric and submucosal.

6. Blood diseases

Increased menstruation may not be a problem with the reproductive organs themselves, but a sign of blood disease. Menstruation, like other bleeding phenomena in the human body, is regulated by the body's own coagulation system. If the coagulation system is abnormal, such as hemophilia patients who are born with a lack of a certain coagulation factor, the blood is not easy to coagulate, resulting in heavy menstrual flow and long bleeding time each time. Excessive menstruation is sometimes the only symptom of female hemophilia patients.

Other common blood diseases such as thrombocytopenic purpura, leukemia, aplastic anemia, etc., are also prone to affect the coagulation system and increase menstrual flow. If you are prone to various infections and frequent fever (especially high fever), in addition to frequent menstrual flow, you also have abnormal bleeding conditions such as skin ecchymosis, nosebleeds, and gum bleeding, you should be alert to whether you have a blood disease.

7. Endocrine disorders

If the above situations are ruled out, it is time to consider whether there is a possibility of dysfunction. Endocrine disorders, which are often mentioned by many people, are such a situation. However, each person's situation will be different. The doctor will determine the type of hormone imbalance and its possible causes based on different menstrual phases, basal body temperature measurements, reproductive hormone measurements, etc., combined with diagnostic curettage, ultrasound scanning, MRI and other auxiliary examinations, and then carry out targeted treatment. If you often experience symptoms such as irregular menstruation, variable menstrual flow, irregular menstrual periods, and premenstrual spotting, and you cannot find other obvious reasons, then it is likely that dysfunction is at work.