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Women & Families

Heavy bleeding

Bleeding that floods clothing, needs very frequent product changes or disrupts life can be treated. A clinician may check for anaemia and its cause.

A guide to understand and prepare

When to seek care

Book a review for persistent heavy periods or bleeding between periods or after sex.

Urgent-help guide
Understand the concern

Long bleeding, flooding, frequent product changes and fatigue can indicate a problem. Fibroids, hormonal changes, medicines or bleeding disorders may contribute.

What assessment may involve

Blood tests may check for anaemia. The pattern of bleeding and associated symptoms guide further tests and specialist referral.

Care options to discuss

Choices include medicines that reduce bleeding, hormonal contraception and selected procedures. Explain future pregnancy wishes before discussing procedures.

These are discussion points, not a prescription. Suitability and availability vary.

Practical next steps

Keep a record of leaks, frequent product changes, clots and missed activities. Tell the clinician about tiredness or breathlessness and all medicines, including blood thinners. You do not need an exact blood-volume measurement to ask for help.

Follow-up and decisions

Ask whether anaemia testing is needed and which treatment fits future pregnancy plans. Medicines, hormonal methods and procedures are different choices. If bleeding continues despite treatment, ask for reassessment and a clear result-review plan. Report bleeding between periods or after sex separately.

A question you may have

Do I have to measure blood in millilitres?

No. Describe flooding, duration and how bleeding affects your activities.

Prepare for your appointment

What to record

Note bleeding days, product changes, clots and tiredness.

Questions worth asking

  • Should I be tested for anaemia?

  • Which options preserve my future pregnancy choices?

About this information
Editorial update
4 October 2026
Clinical reviewer
Not assigned — approval pending
Arabic language review
Pending
Next editorial review target
4 January 2027 · earlier for reported errors
Country applicability
General education. No country edition has been clinically approved.

Sources are linked below each guide. Publication is not clinical approval. Updates and corrections require another content review.

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