What might heavy menstrual bleeding indicate?

Written by: Mr Hisham Abouzeid
Published:
Edited by: Conor Lynch

Menstrual bleeding, particularly if heavy, can certainly be a cause for concern amongst women of all ages. In our latest article, Mr Hisham Abouzeid, a highly esteemed Manchester-based consultant obstetrician and gynaecologist, outlines the most common causes of heavy menstrual bleeding, and tells us when women should start to worry about it.

What are the main causes of heavy menstrual bleeding?

Heavy menstrual bleeding can occur due to a variety of different reasons. It can happen due to tumours, (benign tumours such as fibroids), swelling inside the uterus (polyps), malignant tumours, infection, haematologic disorders, or irregular hormone production.

 

Thankfully, in the majority of cases, heavy menstrual bleeding is not due to a serious condition.  

 

What are the main risk factors?

Women who are close to the menopausal age are at a high risk of endometrial cancer, or endometrial hyperplasia. Patients who suffer from postmenopausal bleeding are at risk of suffering from these conditions.

 

In other conditions, such as fibroids, the risk factors would include family history, and if women have to go to the toilet more than usual due to pressure in the bladder.

 

When should I worry about heavy menstrual bleeding?

It is certainly something to worry about when it is excessive enough to make you anaemic, or if you start to bleed between the menstrual periods as well.

 

What might heavy menstrual bleeding indicate?

It might indicate dysfunctional ovaries and a dysfunctional uterus, infection, inflammation, malignant cervical or uterine cancer, or fibroids.

 

Make sure you check out Mr Hisham Abouzeid’s Top Doctors profile today if you are worried about or have recently noticed heavy menstrual bleeding. You can book either a face-to-face or online consultation with him by taking a look at his Top Doctors profile.

By Mr Hisham Abouzeid
Obstetrics & gynaecology

Mr Hisham Abouzeid is a highly-experienced and respected consultant obstetrician and gynaecologist based in Cheadle, Rochdale and Salford, as well as Wythenshawe in Manchester. He specialises in treatment for ovarian cysts, heavy menstrual loss and pelvic pain alongside labiaplasty, vaginoplasty and vaginal prolapse procedures. He privately practises at The Alexandra Hospital, The Highfield Hospital and Oaklands Hospital, in addition to The Pines Hospital. His NHS base is Pennine Acute Hospitals NHS Trust.

Mr Abouzeid has over 25 years of gynaecological practice, developing skills and expertise in various gynaecological subspecialties, alongside the ones mentioned above, such as female sterilisation reversal, oophorectomy and menopause. He has an impressive educational background that reflects his revered career, with an MBBCh from Ain Shams University, Cairo, Egypt, and an MSc in Advanced Gynaecological Endoscopy from the University of Surrey. 

Further to these esteemed qualifications, Mr Abouzeid has received the Royal College of Obstetricians and Gynaecologists' (RCOG) certificate in laparoscopic and hysteroscopic surgery, accreditation for colposcopy from the British Society for Colposcopy and Cervical Pathology (BSCCP), and underwent RCOG's advanced training in gynaecological ultrasonography.

Mr Abouzeid is a sought-after clinician with top leadership skills. He is the lead for gynaecological endoscopy at Pennine Acute Hospitals NHS Trust, lead for gynaecological oncology at Rochdale Infirmary and the lead gynaecologist for Greater Manchester Clinical and Treatment Centres (CATS). 

Mr Abouzeid is a member of several professional organisations, which include the Royal College of Obstetricians (MRCOG), British Society of Gynaecological Endoscopy (BSGE), European Society of Gynaecological Endoscopy (ESGE), alongside the BSCCP.  

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