History and examination
To establish the cause of heavy periods, we will need to know more about your general health, the nature of the bleeding and any related problems that you may have. A physical examination may also be required.
The cause of heavy bleeding may need to be investigated further, particularly if the bleeding is irregular or associated with pain.
An ultrasound examination of the uterus (womb) may be used to look for abnormalities, such as fibroids (non-cancerous growths), or polyps (harmless growths) or thickening of the lining. A trans-vaginal scan is often used, which involves a small probe being inserted into the vagina to take a close-up image of the uterus.
A biopsy from the lining of the uterus (womb) may be needed in order to establish the cause. This will be carried out by a specialist and involves a small sample of your womb lining being removed for examination under a microscope.
Hysteroscopy may be required if polyps or fibroids are suspected.