Are there two days out of every month that you scrap from your social calendar and bond with your duvet? Do you buy painkillers and sanitaryware in bulk?

Relax - you have lots of company, as one in every five women have experienced similar problems at some time in their lives.

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Normal blood loss during menstruation is between a quarter and half a cup, but some women who suffer from abnormal uterine bleeding (AUB) can bleed ten times as much. It is a distressing and painful experience, which can leave you feeling drained, anxious and depressed.

Heavy menstrual bleeding is mostly caused by hormonal problems. Hormonal imbalances occur when your body produces too much or too little of certain hormones. These imbalances often occur when women have lost or gained weight, used certain medications, exercise too much, are ill or stressed. If the heavy bleeding is a once-off occurrence, it could be that you have just experienced abnormal stress.

Women who bleed very heavily during menstruation are often not ovulating regularly. The production of progesterone, the hormone that keeps periods regular, accompanies ovulation. Chronic failure to ovulate could lead to polycystic ovarian disease. The main symptoms of this are irregular uterine bleeding, acne, excessive facial hair, obesity and infertility. Treatment for this is usually the contraceptive pill, which sorts out hormonal imbalances within a cycle or two.

There are many medical conditions which cause heavy menstrual bleeding. These include liver or kidney disease, miscarriage, ectopic pregnancy, fibroids and diabetes.

Excessive bleeding is not normal and should be checked out by your GP or gynaecologist. Your body could be trying to tell you that something more serious is wrong.

(Susan Erasmus, Health24)

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