Did you need to substitute a super or mega plus for your regular tampons? Have you begun soaking your overnight pads? Are you using more sanitary products than normal because you change them more often or have more days of bleeding?

It is possible that your cycles have been longer (more than seven days) or heavier or both if you answered yes to all of these questions. It’s necessary for you to consult with your gynaecologist.

You will ovulate when your cycle arrives at the same time per month, even if your bleeding has changed. You have to ovulate in order to have a normal period. Menorrhagia, which comes from a Greek stem meaning to burst, is the old term for this sort of irregular uterine bleeding.

Why does it matter if I am ovulating or not?

When your cycles arrive at regular intervals it means you are ovulating. It means that the hormone progesterone is released by your ovaries and the lining of the uterus (endometrium) is shed at normal time. This is critical because both of these factors prevent a process called endometrial hyperplasia from being irregular in the lining of your uterus. Your chance of developing endometrial cancer may be increased by this kind of change in your uterine lining. The possibility that you have potentially precancerous changes in the lining of your uterus is minimal if you are bleeding more frequently but at regular intervals.

What will happen when I see my gynaecologist?

Your gynaecologist will ask questions that will decide if you have ovulatory irregular uterine bleeding. You would also get a physical examination and a pelvic exam as well. 

The doctor may recommend ordering the following tests based on the history and your pelvic examination.

• Pregnancy Test – Although you are not likely to be pregnant because your cycles come regularly, a urine pregnancy test may be done. It is easy, free, and non-invasive.
• Complete blood count (CBC) – It is important to check whether you have had heavy periods to see whether you have developed anemia. This test also tests to see whether low platelets or thrombocytopenia have been formed.
• Thyroid Stimulating Hormone (TSH) – Your period can be affected by thyroid disorders. With this sort of excessive uterine bleeding, hypothyroidism or underactive thyroid is most likely. Your gynaecologist will assess if this test is suitable for you.
• Other Blood Tests – Your gynaecologist can order additional testing based on your history and physical exam to rule out other causes of irregular bleeding that could make your menstrual bleeding heavier or longer.
• Chlamydia Testing – Chlamydia trachomatis is a disease that can be sexually transmitted. It may cause inflammation of the uterine lining that causes excessive bleeding over time. Your gynaecologist may prescribe testing if she feels you are at risk for Chlamydia.
• Pelvic Ultrasound – A common cause of severe menstrual bleeding is structural changes in the uterus. Your gynaecologist may prescribe Transvaginal ultrasound or Saline infusion Sono hysterography to check your pelvic condition.