Joe Daniels: Heavy Periods Deserve Attention
Joe Daniels, Gynaecologis, Manager at Regents Specialist Clinics, shared a post on LinkedIn:
“Heavy periods should not be the price of being a woman. Let’s Talk. This is for Men Too. Your Support is Much Needed.
Skewed Statistics but it Emphasises the Point: 6-7 out of 10 patients I see in my Benign Gynaecology Clinics have Heavy Menstrual Periods, among other concerns.
Many women quietly plan their lives around their periods-avoiding travel, meetings, exercise, intimacy or even wearing certain clothes. Many women, keep quiet about this for fear and embarrassment.
Some carry spare clothing. Others wake several times at night to change protection, so they don’t stain the beddings. Many continue working while exhausted, breathless or unable to concentrate.
Because it happens every month, they begin to call it ‘normal.’
But a period that repeatedly disrupts your life deserves attention.
Signs of heavy menstrual bleeding may include:
- Changing protection every one to two hours
- Using two menstrual products together
- Flooding through clothing or bedding
- Bleeding for longer than seven days
- Passing large clots
- Feeling unusually tired, weak, dizzy or short of breath during your periods and after
Heavy periods may be associated with fibroids, adenomyosis, endometriosis, hormonal changes approaching menopause, bleeding disorders or certain medicines. They can also lead to iron-deficiency anaemia.
A useful first step is to keep a menstrual record for three to four cycles. Note the duration, frequency of product changes, flooding, clots, pain and effect on work or everyday life.
Then have a proper conversation with your GP or women’s-health clinician or gynaecologist. Assessment may include blood tests and, depending on your symptoms, an examination, ultrasound or further investigation.
There are effective treatments-including non-hormonal medicines, hormonal options, the intrauterine system and, when appropriate, procedures or surgery. Treatment should reflect the likely cause, your preferences and your future fertility plans.
Please also arrange medical assessment if you experience bleeding between periods, after sex or after menopause.
Be attentive to what your body is telling you.
Become confident in describing how your symptoms affect your life.
Do take the next step towards assessment and treatment.
Resilience does not mean silently enduring a treatable health problem. Sometimes, the strongest decision is to ask for help. It’s good to talk.
Links below for NHS guidance on heavy periods | NICE guidance on assessment and management”

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