1. Flow
On the heaviest days of her period, Dianne Davis, an Oklahoma-based marketing consultant, used about 23 super-plus tampons and eight super maxi pads. Her flow grew progressively heavier after she entered her 40s, but "I thought it was just part of aging," she says.
She didn't become concerned until she began to feel cold, constantly and for no reason. Her doctor diagnosed her with anemia and a heart murmur, after tests revealed a startlingly low red blood cell count.
Her doctor told her she was hemorrhaging. "I had no idea it had gotten that bad," Davis says.
The average blood loss during a typical period should be no more than 8 ounces, according to Dr. Adler. If you're soaking through pads or changing your tampon every hour, that's too much.
"Or if you're passing clots daily, that's a red flag," Dr. Adler says.
When to worry about your period: See your doctor if your flow gets heavier, especially if you also feel light-headed, dizzy or have heart palpitations during your period.
Heavy bleeding, also known as menorrhagia, can be triggered by a hormonal imbalance, benign fibroid tumors in the uterus, thyroid abnormalities, cancer, bleeding disorders or endometriosis.
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