Menorrhagia (Heavy Menstrual): Symptoms, Causes & Treatment

Reviewed by Dr. Jyoti Lakhani


Every month, women undergo the natural process of menstruation, a vital aspect of reproductive health. While the menstrual cycle is unique to each individual, some women experience heavier bleeding than others, which can be concerning. This condition is known as menorrhagia, characterized by excessively heavy or prolonged menstrual periods.

This article delves into the symptoms, causes, and available treatments for menorrhagia. If you’re experiencing heavy menstrual bleeding or seeking knowledge to support someone else, this guide will equip you with valuable information to navigate menorrhagia.

Also, read our related blog on – How To Get Regular Periods Naturally: 15 Effective Home Remedies

What is menorrhagia?

Menorrhagia is a medical term that describes abnormally heavy or prolonged menstrual periods. While it’s normal for menstrual flow to vary among women, menorrhagia goes beyond the typical range of around seven days, causing significant disruption to daily life. Women experiencing menorrhagia change sanitary products frequently, experience excessive blood clots, and deal with prolonged bleeding beyond the usual timeframe. [1]

This condition affects a substantial number of women, and its impact can be both physical and emotional. Dealing with menorrhagia can be challenging, as it may interfere with work, social activities, and overall well-being. Menorrhagia is a medical concern that requires attention and care. [1]

What are the symptoms of menorrhagia?

Here are a few prominent symptoms associated with this condition:

  • Excessive bleeding

Women experiencing menorrhagia have menstrual bleeding that lasts longer than seven days. Due to heavy bleeding, they may also need to change their sanitary pads every hour or two. [1]

  • Blood clots

Another common symptom of menorrhagia is the presence of large blood clots in menstrual flow. These clots can range from small to large and can be concerning if they are larger than a quarter or cause significant discomfort. [1]

  • Fatigue

Excessive blood loss can lead to fatigue and exhaustion, impacting overall energy levels and daily activities. [1]

  • Anemia

Menorrhagia can also lead to anemia, a condition characterized by a lack of red blood cells in the body. Symptoms of anemia can include weakness, dizziness, and shortness of breath. [1]

  • Discomfort

Women experiencing menorrhagia may also experience discomfort or pain during menstrual periods. It can manifest as abdominal pain, adding to the overall discomfort associated with heavy bleeding. [1]

symptoms of menorrhagia - discomfort

What are the causes of menorrhagia?

Here are some common factors that usually contribute to menorrhagia:

  • Hormonal imbalances

Fluctuations in hormone levels, particularly oestrogen and progesterone, can disrupt the normal menstrual cycle and lead to menorrhagia. [1] [2]

  • Uterine fibroids

Fibroids are non-cancerous growths in the uterus. When located near the uterine lining or within the uterine wall, fibroids can cause heavy menstrual bleeding. The size and number of fibroids can influence the severity of menorrhagia. [1]

  • Endometrial polyps

These are growths that occur within the lining of the uterus. Like fibroids, endometrial polyps can lead to heavy or prolonged menstrual bleeding. [1]

  • Adenomyosis

This condition involves the abnormal growth of endometrial tissue into the uterus’ muscular wall. Adenomyosis can cause an enlarged uterus, severe cramping, and heavy menstrual bleeding. [2]

  • Bleeding disorders

Some individuals may have an underlying bleeding disorder, such as von Willebrand disease or platelet dysfunction, which can result in menorrhagia. These disorders affect the blood’s ability to clot properly, leading to excessive bleeding during menstruation. [1]

  • Medications and medical conditions

Certain medications, like Aspirin, may contribute to heavy menstrual bleeding. Additionally medical conditions related to liver or kidney can disrupt normal blood clotting and contribute to menorrhagia. [1]

What is the Ayurvedic perspective to manage menorrhagia?

Here are some Ayurvedic and lifestyle adaptations usually recommended for managing menorrhagia:

  • Ayurvedic remedies

Lodhra and Shunthi, in equal parts, along with Sharkara, is a recommended treatment to cure menorrhagia. However, it’s crucial to consult an experienced Ayurvedic practitioner before starting any herbal treatment. [3]

  • Panchakarma therapy

Ayurvedic practitioners may recommend Panchakarma, a cleansing and rejuvenating therapy in certain cases. Panchakarma helps eliminate toxins and improve menstrual health. [4]

  • Dietary modifications

Foods with a cooling effect, such as fresh fruits, leafy green vegetables, and herbs like coriander and fennel, are often recommended. Avoiding spicy, oily, and processed foods can help reduce inflammation and promote hormonal balance. [3]

menorrhagia treatment - dietary modifications

  • Lifestyle recommendations

Regular exercise, proper sleep, diet management, and adequate rest are essential for overall well-being and hormonal balance. It’s also advised to avoid excessive physical or mental exertion during menstruation. [3]

  • Stress management

Techniques such as meditation and yoga can be beneficial in managing stress levels and promoting hormonal balance. [3]


1. What is the meaning of menorrhagia?

Menorrhagia refers to abnormally heavy or prolonged menstrual bleeding. It is characterized by menstrual periods exceeding the usual bleeding amount or lasting longer than seven days.

2. What is puberty menorrhagia?

Puberty menorrhagia refers to heavy menstrual bleeding during the early years of a girl’s menstrual cycle, typically within the first few years after menarche (the onset of menstruation).


Various factors can contribute to menorrhagia, from hormonal imbalances and uterine fibroids to bleeding disorders and medications. Identifying the underlying cause helps tailor treatment strategies that address the specific needs of each individual.

Consulting with a healthcare professional is essential for accurate diagnosis and personalized treatment planning. It is important to explore and discuss the treatment options with healthcare providers to make informed decisions about the most suitable course of action.

The information provided here is not intended to replace professional advice or treatment.


  1. Heavy Menstrual Bleeding.
  2. Pathophysiology of Heavy Menstrual Bleeding. 1 January 2016
  3. Ayurvedic Management of Menorrhagia with Lodhra Shunthi Yog-A Case Study. 20 November 2021

Dr. Ashwini Konnur

Dr. Ashwini has 17 years of experience in Clinical Practice, Research & Education in the field of Ayurveda with competency in acute & chronic conditions & lifestyle diseases. She has also expertise in treating Female Infertility disorders, other Gynecological Problems & General disorders along with specialised focus in Ayurvedic detoxification therapies, Panchakarma & other Ayurvedic treatments


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