Heavy menstrual bleeding is commonly caused by the lining of the uterus becoming too thin or too thick. Estrogen and Progesterone are the two hormones responsible for maintaining the appropriate thickness of your uterine lining. When there’s a hormonal imbalance, you may begin to notice abnormalities in your menstrual periods. However, a lot of women who have heavy bleeding don’t notice anything unusual because it’s “normal” to them. But if your flow is so heavy on the first day or two that you are going through a lot of tampons or pads, you are constantly running to the restroom, or you have to miss school or work, these are big signs that something is wrong.
If you are experiencing heavy bleeding because the lining of your uterus is too thick, this usually means that your body is producing too much estrogen and not enough progesterone. Progesterone helps you shed the lining of your uterus each month– but if your body isn’t making enough of this hormone the lining of the uterus builds up over time. We diagnose a thick uterine lining through an ultrasound and can treat it with a natural source of progesterone. A few weeks later we would do another ultrasound and see if the thickness of the lining has improved. If not, there are more aggressive forms of treatment.
Heavy bleeding due to the lining of your uterus being too thin can be caused by too little estrogen in the body causing blood vessels inside the uterus to be exposed and continue to bleed. We diagnose this through an exam and can improve thickness by prescribing a natural source of estrogen. A few weeks later we would check again to see if the thickness has improved.