The Link Between Uterine Fibroids and Heavy Menstrual Bleeding

One typical gynecologic problem is abnormal menstruation. When cramping happens between such a woman's menstrual periods, it is noticeably heavier than usual for a particular person, or after menopause, it is seen as abnormal. Numerous factors may be to blame for abnormal menstruation. It does not always mean a serious health issue by itself. It may occasionally be linked to hormonal contraception, uterine fibroids, endometrial polyps, intrauterine insemination, or polycystic ovary syndrome.

The most prevalent sign of uterine fibroids is excessive bleeding. A woman's everyday life may be significantly impacted by heavy bleeding. 50% of women with fibroids also experience significant clinical bleeding. Fibroids are a relatively common cause of heavy monthly flow, and women who experience it should be aware that noninvasive therapies are accessible that can considerably lessen or even alleviate the symptoms of this disease.

This post covers how to recognize abnormal menstrual bleeding, the prevalence of excessive bleeding, its reasons, and the connection between periods and uterine fibroids.

Uterine Fibroids

Noncancerous formations of a uterus are known as uterine fibroids. Fibroids can develop on the uterus's inner, inside its muscle wall, or even on the exterior of the uterus. Most women with uterine fibroids exhibit no symptoms at all.

These signs and symptoms can be observed by −

  • Unusual vaginal bleeding, including heavier, extended durations of periods or bleeding during periods.

  • Pelvic pain, leading to discomfort during intercourse and persistent low back pain.

  • Urinary issues.

  • Uterine fibroids can occasionally result in more severe issues like anemia, blocked intestines, urinary tracts, or infertility.

Heavy Bleeding in Uterine Fibroids

A typical menstrual cycle lasts three to six days and can result in internal bleeding up to around 80 ml. Menstrual bleeding is deemed excessive when it lasts more than six days or the total amount of blood lost during the period surpasses 80 ml.

Counting the number of pads or tampons you use throughout your period is a standard technique for estimating blood loss. The blood volume that a fully saturated feminine product can retain is approximately 5 ml. Thus, the periods are likely clinically abnormal if you use 16 or even more pads or tampons during a normal period

Many facets of a woman's life satisfaction have been found to suffer from heavy monthly bleeding, including her energy levels, emotions, performance at work, social relationships, family responsibilities, and sexual health. Heavy periods result in daily social isolation, discomfort, and decreased productivity for women with severe menstrual blood. Additionally, anemia brought on by persistent bleeding can aggravate fatigue, cramps, vertigo, and weakness.

The cause, age, the intensity of the bleeding, or even whether you desire to have a child all affect the treatment for internal bleeding. Using hormone injections, contraceptive tablets, or an estrogen IUD is a common medical therapy choice (intra-uterine device). To regulate bleeding or eradicate growths (such as fibroids) that are the reason for the bleeding, surgery may be necessary for certain women with unusual vaginal bleeding. Endometrial polyp removal, Endometrial ablation, myomectomy, and hysterectomy are typical surgical therapy options that can permanently end this medical condition.

Why Do Fibroids Cause Bleeding?

The three layers, namely-

  • Endometrium,

  • Myometrium, and

  • Perimetrium

are primary levels of tissue that make up a normal uterus. Fibroids can range in size from tiny seedlings to large tumors and form inside this myometrium in different parts of the uterus. Submucosal and intramural fibroids are two terms for fibroids that develop even against internal lining and inside the middle layer, respectively. Fibroids in such areas are believed to be the leading cause of heavy menstrual flow. Fibroids could also develop either inside or outside the membrane against the outermost surface and on tiny stalks; however, it is assumed that these are less likely to cause irregular bleeding.

Even during the menstrual cycle, the uterine endometrium swells and discharges. The cause of typical, regular menstrual bleeding is this. Subcutaneous tissue or intracellular fibroids expand the endometrium's structure and increase its vascularity, increasing the volume of blood that the fibroids can absorb. Due to these modifications, in women with fibroids, the endometrium loses an abnormal quantity of blood as they bleed for a prolonged time.

How to Control Heavy Bleeding During Fibroids?

Fibroids, which are harmless muscle tumors of the uterus, can result in infertility, painful periods, bladder or bowel issues, and heavy monthly bleeding. Though many women do, even those who experience severe menstrual flow, some might not. While they can happen to anyone, fibroids most frequently affect women between the ages of 35 and 49. They usually go away after menopause, but when they produce significant symptoms, they are a major factor in hysterectomy procedures in the US.

While undergoing treatment and for one week following drug discontinuation, women should use non-hormonal contraceptives. Oriahnn alters menstrual bleeding patterns, which could delay the identification of pregnancy. Women with managed hypotension should monitor their blood pressure while taking Oriahnn because it may increase. Patients must be aware of the symptoms and indicators of liver damage. If patients exhibit suicidal thoughts or behaviors, anxiety, new-onset or severe depression, or even other mood disorders, they are urged to seek medical assistance. The use of Oriahnn may result in hair loss also.

Imaging testing and a consultation with a fibroid expert are the only ways to be sure you have fibroids. An ultrasonography test is usually sufficient to assess the presence or absence of statistically important fibroids. Fibroids are a common reason for high monthly flow, and women who experience it should be aware that noninvasive therapies are accessible that can considerably lessen or even alleviate the symptoms of their disease. Getting a prognosis is the first thing to do.


There are numerous explanations for why fibroids lead to excessive bleeding. According to one theory, submucosal fibroids inside the uterus increase the endometrium's contact area, which could lead to excessive bleeding during menstruation. In another view, fibroids lead to hormonal production issues, which affect how the muscle fibers of the uterus stretch and relax.