A change in hormone levels is a common cause of abnormal menstrual bleeding.
Other causes of heavy, prolonged, or irregular menstrual bleeding include:
- Bleeding disorders such as Von Willebrand disease
- Cancer of the lining of the uterus
- Changes in birth control pills or hormone medications
- Changes in exercise routine
- Diet changes
- Endometrial hyperplasia (thickening/build-up of the lining of the uterus)
- Infection in the uterus (pelvic inflammatory disease)
- Medical conditions such as thyroid and pituitary disorders, diabetes, cirrhosis of the liver, and systemic lupus erythematosus
- Noncancerous growths in the womb, including uterine fibroids, uterine polyps, and adenomyosis
- Polycystic ovary syndrome
- Pregnancy complicationss such as miscarriage or ectopic pregnancy
- Recent injury or surgery to the uterus
- Recent weight loss or gain
- Stress
- Use of an intrauterine device (IUD) for birth control
- Use of certain drugs such as steroids or blood thinners (for example, warfarin or Coumadin)
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