Heavy Periods

Periods with heavy bleeding that affect daily life, often causing tiredness and anaemia.

Women's healthLast updated: 21 October 2026

Quick Summary

Primary Symptoms

Needing to change pads every 1–2 hours, bleeding for more than 7 days, passing large clots, and tiredness.

Common Treatments

Medicines such as tranexamic acid or hormonal treatments, treating causes like fibroids, and iron for anaemia.

Risk Factors

Fibroids, polyps, hormonal imbalance, thyroid problems, bleeding disorders and approaching menopause.

Overview

Heavy menstrual bleeding is common. It can be caused by changes in the womb or hormones, but often no cause is found.

Heavy periods are a common cause of iron deficiency anaemia in Indian women.

Symptoms

Heavy bleeding

Soaking through pads quickly.

Long periods

Lasting more than a week.

Tiredness

From anaemia.

Clots

Larger than a coin.

Causes & Risk Factors

Biological Causes

Fibroids, polyps, hormonal imbalance or bleeding disorders.

Key Risk Factors

  • Fibroids and polyps Common causes.
  • Hormones Around puberty and menopause.
  • Medical conditions Thyroid and bleeding disorders.

Management & Treatment

01. Medicines

Tranexamic acid, NSAIDs and hormonal treatments.

02. Treat the cause

Such as removing polyps or fibroids.

03. Iron

For anaemia.

Frequently Asked Questions

How heavy is too heavy?
If it affects your daily life, see a doctor.
Do I need tests?
Usually a blood count and sometimes an ultrasound.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.