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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heavy Menstrual Bleeding?

My daughter suffers from heavy bleeding during her period. She is only 12 1/2 years old. Her me arch was exactly one year ago. Her pediatrician said nonintervention is necessary unless she became anemic. She has frequent accidents and it s embarrassing for her. I thought at first she was just careless, but I have witness her changing every 90 minutes and still have an accident. She uses the super absorbent pads,a ne they are not good enough. Is this normal?
Wed, 22 Mar 2017
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General & Family Physician,  's  Response
Hi, thanks for your question.

Heavy menstrual bleeding in adolescent age can be caused by a number of things, however, the commonest reason is the immaturity of the hormone network which is responsible for ovulation and reproduction. At that age, most menstrual cycles are without ovulation. This causes heavy periods. This should normalize in the next few cycles.

If the bleeding does not reduce in the next couple of cycles, other causes should be evaluated. These include hormone problems such as thyroid issues and cushing syndrome, and bleeding disorders. Bleeding disorders would be suggestive if she also has nose bleeds and bleeding from the gums while brushing the teeth.

Observe for the next few cycles and continue to give her blood building drugs to prevent anemia. If bleeding continues to be significant, revisit a gynecologist for evaluation.

I hope I have answered your question.

Warm regards.
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What Causes Heavy Menstrual Bleeding?

Hi, thanks for your question. Heavy menstrual bleeding in adolescent age can be caused by a number of things, however, the commonest reason is the immaturity of the hormone network which is responsible for ovulation and reproduction. At that age, most menstrual cycles are without ovulation. This causes heavy periods. This should normalize in the next few cycles. If the bleeding does not reduce in the next couple of cycles, other causes should be evaluated. These include hormone problems such as thyroid issues and cushing syndrome, and bleeding disorders. Bleeding disorders would be suggestive if she also has nose bleeds and bleeding from the gums while brushing the teeth. Observe for the next few cycles and continue to give her blood building drugs to prevent anemia. If bleeding continues to be significant, revisit a gynecologist for evaluation. I hope I have answered your question. Warm regards.