Heavy Periods
When bleeding is more than just “a bad period”
Heavy periods — also called heavy menstrual bleeding (HMB) or menorrhagia — refer to menstrual bleeding that is heavier, longer, or more disruptive than normal.
Heavy periods are common — but they’re not something you should have to live with.
If your bleeding is affecting your work, sleep, social life, or energy levels, or if you’re needing to change pads or tampons very frequently, it’s worth being checked. Many women are told this is “normal”, but often there is an underlying cause that can be identified and treated.
What causes heavy periods
Heavy bleeding may be caused by:
Fibroids — growths in the uterus that can increase bleeding
Adenomyosis — when uterine tissue grows into the muscle of the uterus
Endometrial polyps — small growths inside the uterus
Hormonal imbalance
Changes around perimenopause and menopause
Rarely, endometrial hyperplasia or endometrial cancer
Finding the cause is important, because treatment depends on what is driving the bleeding.
How heavy periods are assessed
Your appointment will usually include a detailed discussion about your symptoms and cycle, and often pelvic ultrasound.
Advanced ultrasound allows detailed assessment of:
The uterus
The uterine lining
The ovaries
Fibroids, adenomyosis, or polyps that may not be found on examination alone
In some cases, a hysteroscopy may also be recommended to look directly inside the uterus.
My training in advanced pelvic ultrasound allows subtle causes of bleeding to be detected and treatment to be targeted rather than based on trial and error.
Treatment options
Treatment is always individual and based on what matters to you. Options may include:
Reassurance and monitoring
Medication to reduce bleeding
Hormonal treatments
Hysteroscopy to remove polyps or submucosal fibroids
Laparoscopic surgery for conditions such as fibroids or adenomyosis
We will talk through the benefits and risks of each option so you can decide what feels right for you.
When to seek help
You should consider assessment if:
Your bleeding interferes with daily life
You have bleeding between periods
Your periods are becoming heavier over time
You feel tired or have low iron
You are trying to conceive
How I can help
I combine advanced pelvic ultrasound, hysteroscopy, and fellowship-trained minimally invasive surgery to identify the cause of heavy bleeding and guide effective treatment.
Whether your symptoms need simple management or specialist care, the goal is always to reduce bleeding, improve quality of life, and help you feel back in control of your body.
Related services
Book an appointment for heavy periods in Auckland
If you are experiencing pelvic pain, abnormal bleeding, fertility concerns, or have been told your scans are normal but your symptoms persist, you can book a consultation online.