Let's talk periods - irregular, heavy, painful

Do you know why your periods are painful, heavy or irregular? Well, there are many reasons that drive the change in your periods.

Do you know why your periods are painful, heavy or irregular? Well, there are many reasons that drive the change in your periods.
Let's talk periods - irregular, heavy, painful

Normal periods will generally last for 3-8 days and you will start to menstruate in 21-35 days. In a single period cycle, your total blood loss will be approximately 30-50 ml, in this case, if your periods are normal. Otherwise, it means you are facing irregular menstruation.


Ways to determine heavy bleeding


  • bleeding lasting for more than 7 days

  • soaking tampons or pads completely in every 1 hour for several hours

  • Menstrual flow with blood clots that are big

  • Wetting napkin completely at the middle of the night


Painful Periods


It's normal to have cramps in the lower part of the body and back for a couple of days. They can be easily relieved by home remedies and simple painkillers


Alert symptoms


  • Pain precedes period flow by several days

  • Pain continues for days after flow subsides

  • Intolerable pain not responding to oral painkillers


Reason for heavy and painful periods:


  • Hormonal imbalance 

  • Uterine fibroids or polyps

  • Endometriosis or adenomyosis

  • Cancer in the reproductive organ

  • Birth control like Intrauterine device

  • Miscarriage or ectopic pregnancy

  • Pelvic inflammatory diseases 

  • Pelvic congestion syndrome

  • Systemic diseases like Thyroid disease, liver and kidney disease


If you are having heavy periods and are so painful, you need to see your gynaecologist for determining the exact cause. You certainly need to undergo proper treatment to correct and rectify your reproductive phase of life. 


Irregular Periods


Like heavy and painful periods, irregular periods will also determine certain health ailments. Normal reproductive life changes may cause irregular periods. It includes,


  • Puberty

  • Post Pregnancy

  • Menopause

  • Contraception – I-pill, IUD

  • Breast-feeding


However, there might be other reasons for the irregular periods that are abnormal. It includes, 


  • Hormonal imbalance caused due to extreme weight loss or gain, too much of emotional stress, eating disorders like anorexia or endurance exercise like marathon running

  • Polycystic ovarian syndrome ( PCOS ) where you do not ovulate and causing irregular or no periods

  • Systemic diseases like thyroid disorder where your thyroid hormone affects the body’s metabolism

  • Pelvic inflammatory disease and endometriosis will cause the inflammation of the reproductive organ and affects the normal menstruation. 


In irregular menstruation, your menstrual time period and amount of bloodshed will vary considerably. You shall try correcting your lifestyle like adapting adequate physical activity and following a regular healthy diet, to correct the hormonal imbalance. However, if you can’t regularise your periods just by altering your lifestyle, then certainly you need to take medical advice. 


Dr. Mansi Medhekar

Share it on -