What do we mean by heavy or irregular periods?
Periods are different for everyone, but if they are unusually heavy, last longer than normal, or come at unpredictable times, they may need further investigation.
You might be changing pads or tampons very frequently, bleeding through clothing, or feeling drained and low on energy. These symptoms can have a big impact on your quality of life, but the good news is that help is available.
Irregular periods can also mean your cycle is shorter, longer, or less predictable than usual, which may be linked to hormones, stress or other underlying conditions.
Possible Causes
Several conditions can cause heavy or irregular bleeding, including:
- Fibroids
- Endometriosis
- Polycystic Ovary Syndrome (PCOS)
- Hormonal imbalances
- Perimenopause
- Thyroid issues
- Blood clotting disorders
- Some types of contraception
It’s important to get a clear diagnosis so that treatment can be tailored to your needs.
When should I seek help?
You should speak to a specialist if:
- You’re bleeding heavily during your period or between periods
- Your periods last more than seven days
- Your cycle has become unpredictable or infrequent
- You’re feeling unusually tired or run down
- Your periods are affecting your work, sleep or social life
How we can help
Our first step is to understand your symptoms and carry out the necessary tests, which may include:
- A pelvic examination
- Blood tests to check hormone levels or anaemia
- An ultrasound scan to assess the womb and ovaries
Treatment will depend on the cause but may include:
- Hormonal options such as the pill or intrauterine system (coil)
- Medication to reduce bleeding, such as tranexamic acid
- Minimally invasive surgery for conditions like fibroids or endometriosis
- Advice on lifestyle and dietary changes to support overall health
Why Manchester Women’s Health?
- Specialist care for menstrual and hormonal concerns
- Fast access to diagnosis and personalised treatment
- Clear explanations and time to talk through your options
- Led by Dr Sujata Gupta, with expertise in minimally invasive gynaecology