Painful periods (known as dysmenorrhea) or heavy bleeding (also known as menorrhagia) can leave you tired and uncomfortable and affect your daily life including your work. Our guide offers help and support if you’re living with painful or heavy bleeding during your periods.
What are heavy periods?
According to the NHS website, you may have heavy periods if:
- You need to change your sanitary pad or tampon regularly, for example every one to two hours
- You need to use two types of sanitary product together, such as a tampon and a pad
- You regularly bleed through to your clothes or bedding
- Your periods last more than seven days
- You regularly feel tired or out of breath
- You avoid daily activities such as exercise
- You find you have to take time off work during your period
What causes heavy periods?
There are a variety of causes of heavy periods, including:
- When you start your periods at puberty
- After pregnancy
- During the perimenopause
They can also be caused by conditions such as adenomyosis, polycystic ovary syndrome (PCOS), fibroids, endometriosis, pelvic inflammatory disease, stress or depression – as well as some medications and treatments.
How can heavy or painful periods affect you?
Having heavy periods or painful period cramps can be both a physical and emotional drain. Many women find that the tiredness and discomfort associated with heavy bleeding can affect your daily activities, making you feel resentful or anxious.
Mr Connell discusses heavy and painful periods
Consultant Gynaecologist, Mr Rowan Connell, on treatment for heavy and painful periods and the private gynaecology services available at Benenden Hospital.
Welcome. I'm Rowan Connell and I'm one of the gynaecologists at Benenden Hospital. And today I'm going to be talking to you about heavy periods and how you can manage them and how we can help manage them at Benenden Hospital.
So what are heavy periods? Painful periods are also known as dysmenorrhea and heavy periods are also known as menorrhagia. And the GPs will often use those terms when they're talking to you and when they're referring you on to hospitals and to see consultants, but they can leave you with severe pains either before, during or after your periods and also feeling tired if they're very heavy and they may be making you anaemic. And what I'd like to talk to you today about is how we can help manage and treat heavy painful periods.
So heavy periods may mean that you're changing your pads or tampons every one or two hours. Sometimes you'll have double protection, which is where you use pads and tampons together and there may be bleeding around the side of that, which is called flooding. And of course, sometimes this will mean that you'll be housebound and having to stay at home because the periods are so heavy or painful.
Obviously, if your bleeding is lasting more than seven days and you're feeling very short of breath or very tired, you may have anaemia where your blood count is low. So seeing your GP at that point is often very important. One of the first things they may do is take a history and ask you about heavy painful periods and how they're affecting you. They may well perform a blood test looking for anaemia or a low blood count.
They may well organise an ultrasound scan as sometimes this is because of fibroids which are small growths in the muscle of your womb or polyps where the lining of the womb is growing. Sometimes the GP will put in a Mirena coil, which is a hormone coil, which in most women gives you less painful, less heavy periods. If the simple measures the GP has initiated has not helped, the next stage would be to think about being referred in to see a gynaecologist in our hospital. For example, if the ultrasound scan shows fibroids or polyps, then we may have to perform a small procedure, a hysteroscopy, where we cut out those fibroids or polyps.
Of course, we would then think about a Mirena coil as well. The hormone coil I mentioned to help thin out the lining of the womb and give you less painful, heavy periods. The success rate of the Mirena coil is about 80% at making women with painful, heavy periods better if the cavity is normal inside the womb.
Then another option is an ablation where we burn away the lining of the womb. This also has a success rate of about 80 to 85% of people and can be used in combination with the Mirena coil for women with painful, heavy periods.
Obviously in women where this still doesn't help, another option is a hysterectomy. So a hysterectomy is where you remove the womb itself. We can do this through a cut in the tummy, through the vagina or with keyhole surgery. And that again is something to discuss with your gynaecologist when you see them in the hospital.
How can having a heavy period affect your work?
In addition to the physical symptoms, as some employees begin returning to the office after two years of working from home, women are experiencing increased stress and anxiety around coping with heavy periods in the workplace.
You might be worried about pain and bleeding through your clothes during a long meeting, and wear dark clothes in anticipation of blood stains, even in summer.
You might run out of sanitary protection and feel unable to ask your employer whether you can pop to the shops to buy some more.
What is the most common period pain relief?
In most cases, period cramps or period back pain can be treated at home with ibuprofen. If ordinary painkillers don’t help, your GP may prescribe stronger medication.
How to cope with heavy periods at work
Be prepared
Make sure that you’re prepared for your period, especially during menopause when bleeding may be less regular. Ensure that you have plenty of sanitary protection with you – in your handbag and your drawer if you have one.
Tampons and pads should be available in staff toilets, so please speak to your employer if they’re missing.
Take frequent breaks
Your employer should allow you to take frequent comfort breaks so that you can change your protection. If you do have a long meeting, your facilitator should ensure that toilet breaks are included in the agenda.
It’s important to keep active during your period; a short walk round the block will help with cramps and will make you feel less tired.
Eat well and stay hydrated
It goes without saying that if you suffer with heavy periods, you need to have plenty of iron in your diet. Iron is essential for producing red blood cells which carry oxygen around your body. If you’re not producing enough red blood cells to replace those that are lost when you bleed heavily, the amount of oxygen in your body is reduced and this can cause you to feel lightheaded, tired and short of breath - or develop anaemia.
Food with a high iron content include red meat, green, leafy vegetables, pulses (such as lentils) and cereals with added iron.
It’s also important to stay hydrated, so drink plenty of water during the day and avoid too many caffeinated drinks.
Don’t be afraid to ask your employer for help
Every employer knows that almost all female members of staff between the ages of 16 and 50 will experience their period at least once a month.
You might find it difficult to talk about this with colleagues and managers – even if they themselves are female - so it’s worth asking your Human Resources department whether your employer has a Menstruation policy. If they don’t, what measures do they have in place to support female employees’ physical and mental wellbeing during their period. This could include working from home, working flexibly around your period days or even menstrual leave.
Speak to our experts
If heavy periods are affecting your home life or work, help is available. We offer a range of private gynaecology treatments, including consultation for menstrual bleeding disorders.
Contact our Private Patient team via Livechat, by completing our online enquiry form or by calling 01580 363158.
Published on 23 June 2022