1. Definition: Heavy bleeding refers to excessive or prolonged menstrual bleeding that goes beyond the normal range. It may involve soaking through sanitary pads or tampons frequently, passing large blood clots, or experiencing prolonged periods that last more than seven days.


2. Causes: There are various factors that can contribute to heavy bleeding, including:

   a. Hormonal Imbalance: Fluctuations in hormone levels, particularly estrogen and progesterone, can disrupt the normal menstrual cycle and lead to heavy bleeding.

   b. Uterine Fibroids: Non-cancerous growths in the uterus known as fibroids can cause heavy menstrual bleeding, especially if they are large or located in the uterine lining.

   c. Adenomyosis: This condition occurs when the tissue that lines the uterus grows into the muscular walls of the uterus, leading to heavy and painful periods.

   d. Endometrial Polyps: Polyps are abnormal growths in the lining of the uterus that can cause heavy or irregular bleeding.

   e. Uterine or Cervical Polyps: Inflammation or growths in the uterus or cervix can contribute to heavy bleeding.

   f. Hormonal Contraceptives or IUDs: Some forms of birth control, such as copper IUDs or certain hormonal contraceptives, may cause heavier periods as a side effect.

   g. Other Medical Conditions: Certain medical conditions, such as bleeding disorders, thyroid dysfunction, or liver disease, can also contribute to heavy menstrual bleeding.



3. Diagnosis: To determine the underlying cause of heavy bleeding, Dr. Vinita Gupta may perform a comprehensive evaluation, which may include:

   a. Medical History Review: A detailed discussion about the symptoms, duration, and impact of heavy bleeding.

   b. Physical Examination: A pelvic examination to assess the health of the reproductive organs.

   c. Diagnostic Tests: Additional tests such as blood tests, ultrasound, hysteroscopy, or endometrial biopsy may be conducted to identify any structural abnormalities or hormonal imbalances.

4. Treatment Options: Based on the underlying cause and individual patient needs, treatment options for heavy bleeding may include:

   a. Medications: Hormonal medications, such as birth control pills, progesterone therapy, or nonsteroidal anti-inflammatory drugs (NSAIDs), may be prescribed to regulate menstrual cycles and reduce heavy bleeding.

   b. Minimally Invasive Procedures: Techniques like endometrial ablation or hysteroscopic resection of fibroids or polyps may be performed to remove or reduce abnormal tissue and improve bleeding patterns.

   c. Surgical Interventions: In cases where conservative measures are not effective, Dr. Vinita Gupta may recommend surgical options, such as myomectomy (removal of fibroids) or hysterectomy (removal of the uterus).



5. Lifestyle Modifications: Dr. Vinita Gupta may provide guidance on lifestyle modifications that can help manage heavy bleeding, such as maintaining a healthy weight, exercising regularly, managing stress, and adopting a balanced diet.


6. Ongoing Monitoring and Support: After initiating treatment, Dr. Vinita Gupta and her team provide ongoing monitoring and support to ensure the effectiveness of the chosen treatment and address any concerns or questions that may arise.

Dr. Vinita Gupta and her team strive to provide personalized and comprehensive care for women experiencing heavy bleeding. By accurately diagnosing the underlying cause and offering appropriate treatment options, they aim to improve symptoms, restore menstrual regularity, and enhance the overall well-being of their patients.