Pinkishe Foundation
23/9/2024
Periods can be complicated, and for some, they come with a lot more than just the usual cramps and cravings. If you're struggling with heavy menstrual periods, ovarian cysts, clots in period blood, or any other discomfort that leaves you asking, "What is going on with my body?", you’re not alone. In this detailed guide, we’ll explore everything from endometriosis and ovarian cysts to how menorrhagia (aka heavy bleeding periods) can impact your life. Let’s dive into all things menstrual health so you can better understand what’s going on and how to take control of your body.
Endometriosis is when the tissue that lines your uterus decides it’s time to expand its horizons—growing on your ovaries, fallopian tubes, or even your intestines. This tissue thickens, breaks down, and bleeds every month, but since it’s outside the uterus, it has nowhere to go. The result? Inflammation, scar tissue, and pain that can knock you off your feet.
Common symptoms of endometriosis include:
Endometriosis can even cause heavy periods that last for more than seven days, leading to exhaustion and the constant need to be near a bathroom.
Ovarian cysts are fluid-filled sacs that form on or in the ovaries. Most of them are harmless and come and go without much fuss, but certain types—like hemorrhagic cysts or dermoid cysts—can cause serious discomfort.
Common symptoms of ovarian cysts include:
There are different kinds of ovarian cysts:
Filled with blood, these cysts can rupture and cause sharp, intense pain.
Also called ovarian cystomas, these can contain odd things like hair or teeth (yes, really). They rarely cause problems unless they grow large.
This is a condition where multiple small cysts develop on the ovaries, which can lead to irregular periods, heavy bleeding periods, or even infertility.
If your period feels like it never ends, you're soaking through tampons or pads every hour, and clots in period blood are a regular thing, you may have menorrhagia. This is the medical term for heavy bleeding menorrhagia, and it can mess with your life, both physically and emotionally.
Causes of menorrhagia can include:
If you constantly have to deal with a heavy heavy period, or if your excessive periods make you feel faint or exhausted, it’s time to talk to your doctor. You shouldn’t have to suffer in silence!
Your period doesn't happen in a vacuum—everything from what you eat to how stressed you are can play a part in how your menstrual cycle behaves.
What you eat matters. A diet rich in iron, leafy greens, and omega-3s can help reduce inflammation and make heavy periods more manageable. Some key tips:
Exercise might be the last thing you want to do during a heavy menstrual period, but even light movement like walking or yoga can help reduce cramping and improve your mood. Regular exercise helps balance your hormones, which can lead to less severe periods.
Ever notice that your period shows up late when you're stressed? That's no coincidence. Stress can throw off your hormone levels, leading to irregular periods, heavy bleeding, or even missed cycles.
Periods are hard enough without the constant worry of leaking. Finding the right products for your heavy flow period can be a game-changer.
These cups can hold more blood than tampons or pads, making them perfect for heavy periods.
These are designed for heavy bleeding and can offer more protection.
These offer backup protection or can be used alone on lighter days.
Eco-friendly and great for those who want to reduce waste while managing a heavy flow period.
Tracking your period with apps like Clue or Flo can help you stay prepared, especially if your cycles are unpredictable due to ovarian cysts or PCOS.
Ignoring symptoms of endometriosis or ovarian cysts can lead to more serious complications.
Endometriosis doesn’t just make your periods unbearable; it can also interfere with your fertility. The scar tissue that builds up due to endometriosis cysts can block the fallopian tubes, making it harder to conceive. If you're trying to get pregnant and have endometriosis, it’s essential to work closely with a healthcare provider.
If an ovarian cyst ruptures—especially a hemorrhagic cyst—it can cause extreme pain, internal bleeding, and even require emergency surgery. If you experience sudden, sharp abdominal pain, seek medical attention immediately.
Both endometriosis and PCOS can lead to chronic pelvic pain, which is a long-lasting pain in the lower abdomen. Managing this pain often requires a combination of treatments, including medication, physical therapy, and sometimes surgery.
Living with endometriosis, ovarian cysts, or heavy periods can take a toll on your mental health. Chronic pain, unpredictable periods, and concerns about fertility or body image can lead to anxiety, depression, or feelings of helplessness.
Cognitive-behavioral therapy (CBT) or counseling can be incredibly helpful in dealing with the mental health impacts of chronic reproductive health issues.
Joining online communities or local support groups for people with PCOS, endometriosis, or chronic menstrual issues can help you feel less isolated.
During the first few years of menstruation, young girls may experience heavy periods or irregular cycles as their bodies adjust to hormonal changes. It's important to track their cycles and speak to a healthcare provider if the bleeding seems excessive or if symptoms like pain and fatigue become concerning.
For women in their 40s and 50s, ovarian cysts or endometriosis can sometimes cause an uptick in symptoms right before menopause. The good news is that periods often lighten or disappear post-menopause, offering some relief from years of heavy cycles.
Heavy periods can have lasting health effects, especially if left untreated.
If you lose a lot of blood every month, you could be at risk for iron-deficiency anemia. This condition occurs when your body doesn't have enough iron to make healthy red blood cells, leaving you feeling tired, weak, and light-headed. If your excessive periods are causing you to feel constantly fatigued, ask your doctor about checking your iron levels.
While most ovarian cysts and endometriosis are benign, there is a small risk that they can increase your chances of developing ovarian or endometrial cancer. It’s important to get regular pelvic exams and report any new or worsening symptoms to your doctor.
If your periods are so heavy that they interfere with your daily life, it’s time to see a healthcare provider. Watch for these red flags:
Yes, heavy periods can lead to iron-deficiency anemia. Symptoms include fatigue, weakness, and dizziness due to excessive blood loss.
A normal ovarian cyst is usually filled with fluid, while a hemorrhagic cyst contains blood. A ruptured hemorrhagic cyst can cause intense pain and may require medical attention.
Most ovarian cysts are diagnosed through pelvic ultrasounds. Your doctor may use imaging to determine the type of cyst and whether it requires treatment.
Using menstrual cups, super-absorbent pads, or period panties can help manage heavy periods. Iron supplements and staying hydrated are also essential to avoid fatigue and anemia.
Yes, PCOS can cause heavy periods, missed periods, and irregular cycles due to hormonal imbalances. Weight gain, acne, and excess hair growth are also common symptoms.
Herbal remedies like ginger, turmeric, or evening primrose oil may help reduce inflammation and pain. Always consult your doctor before trying new treatments, especially if you have conditions like PCOS or endometriosis.
Unfortunately, endometriosis doesn't go away on its own, but treatments like hormonal therapy or surgery can help manage symptoms.
Yes! Hormonal birth control (pills, patches, or IUDs) can help regulate or even stop periods altogether, reducing heavy bleeding.
Most ovarian cysts don’t interfere with fertility, but conditions like PCOS or endometriosis can make it harder to conceive. Talk to your doctor if you’re trying to get pregnant.
Recovery from an ovarian cystectomy varies. Laparoscopic surgeries usually have a recovery time of 1-2 weeks, while more invasive surgeries may take longer.
Periods are part of life, but they shouldn’t control yours. Whether you’re dealing with endometriosis, ovarian cysts, or menorrhagia, there are treatments and lifestyle changes that can help. By working with a healthcare provider and understanding the signs and symptoms of more serious conditions, you can take control of your menstrual health and get the relief you deserve.
Do you want to know more about how to support girls through their early periods and ensure they have access to the resources they need? Join Pinkishe Foundation's mission to spread awareness and improve menstrual health for young girls across India. Your support can make a huge difference!
Senior Consultant - Obstetrics & Gynaecology | Sarvodaya Hospital, Greater Noida West | Ex Professor & HOD of OBGY, RMRI, Bareilly | DNB, MRB Govt. Hospital, Kolkata | DGO, AMU - Gold Medal | MBBS, AMU | IVF & Reproductive Medicine Fellowship - Keil University Germany | Diploma in Cosmetic Gynaecology - ICCG | Padmashree Kamlabai Hospet Award FOGSI National | Mrs Shailaja N Pandit Woman Empowerment | Award SN Malhotra award in AICOG
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