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WHAT CAUSES HEAVY MENSTRUAL BLEEDING (HMB)?

In almost 50% of women with HMB, there is no obvious cause. However, some conditions have been linked to HMB, including:

Polycystic-ovary-syndrome

POLYCYSTIC OVARY SYNDROME (PCOS)

A common condition caused by an imbalance of reproductive hormones that affects how a woman’s ovaries work.

Pelvic-inflammatory-disease

PELVIC INFLAMMATORY DISEASE(PID)

An infection in the upper genital tract (the womb, fallopian tubes or ovaries) that can cause pelvic or abdominal pain and bleeding after sex or between periods.

Fibroids

FIBROIDS

Non-cancerous growths that develop in or around the womb.

Endometriosis

ENDOMETRIOSIS

When small pieces of the womb lining are found outside the womb, such as in the fallopian tubes, ovaries, bladder or vagina.

Hypothyroidism

HYPOTHYROIDISM

An underactive thyroid, where the thyroid gland doesn't produce enough hormones, causing tiredness, weight gain and feelings of depression.

Cervical or endometrial polyps

CERVICAL OR ENDOMETRIAL POLYPS

Non-cancerous growths in the lining of the womb or cervix (neck of the womb).

Blood clotting

BLOOD CLOTTING

Disorders von Willebrand's disease, haemophillia, platelet function disorders and thrombocytopenia are all examples of disorders that can impact on clotting.

Cancer of the womb

CANCER OF THE WOMB

Cancerous growths that develop in or around the womb.

PP-UN-WHC-GB-0279 July 2025