• Abnormal Menstrual Bleeding

  • Cross legged womanMenstrual periods where bleeding is abnormally heavy or prolonged may be signs of a condition known as menorrhagia. Typically, menstrual cycles that are longer than 35 days or shorter than 21 days are considered abnormal.

    In the case of menorrhagia, symptoms also include:

    • Frequently bleeding through one or more sanitary pads or tampons every few hours
    • Needing to change sanitary protection during the night
    • Bleeding for more than seven days
    • Presence of large blood clots in menstrual flow
    • Fatigue and tiredness
    • Anemia


    Abnormal bleeding can have many causes. At CHPG Women’s Health in Denver, Colorado our team of gynecology (GYN) and urogynecology experts examine both common, age group-specific problems and more complex conditions with each woman we see. For menorrhagia, causes may include:

    • Miscarriage or ectopic pregnancy
    • Hormonal imbalance
    • Fibroids and uterine polyps
    • Birth control complications including problems with a non-hormonal intrauterine device (IUD)
    • Pelvic inflammatory disease (PID)
    • Uterine, ovarian, or cervical cancer
    • Blood thinning medications
    • Liver, kidney, or thyroid disease and bleeding or platelet disorders.


    Treatment of abnormal menstrual bleeding depends on the cause, a patient’s age, desire to have children and other personal factors. At CHPG Women’s Health our gynecological and urogynecology specialists offer treatments ranging from observation and medication to corrective surgery.

    Medication and Observation

    • Hormone therapy to correct hormonal imbalances. Often administered through birth control pills, hormone injection, vaginal cream, or via intrauterine device (IUD).
    • Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen to reduce blood loss and ease pain symptoms.

    Surgical Options

    • Hysteroscopy – a procedure that uses a long, thin remove fibroids or other growths that are causing menorrhagia.
    • Endometrial ablation – a procedure where the lining of the uterus is removed or destroyed.
    • Hysterectomy – a surgical procedure that removes the uterus and cervix.

    Schedule your appointment with CHPG Women’s Health today at one of our two convenient locations.

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