Heavy Periods after 40? How to fix heavy and painful periods

Heavy or unpredictable periods can be a common part of perimenopause—but that doesn’t mean you should simply suffer through them.

As hormone levels fluctuate and ovulation becomes less consistent, progesterone can decrease relative to estrogen, which may cause the uterine lining to build up and lead to heavier or irregular bleeding.

But certain symptoms deserve medical evaluation, including soaking through a pad or tampon every hour, passing large clots, bleeding for more than 10 days, bleeding between periods, dizziness or fatigue, or any bleeding after 12 months without a period.

👉 Take one of my free quizzes to start understanding your hormones:
Perimenopause & Menopause Quiz → https://drjenniferroelands.com

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✅ WHAT YOU’LL LEARN

– Why heavy bleeding can happen during perimenopause
– What’s considered normal and what may be a warning sign
– When heavy bleeding means you should see a doctor
– Other causes of heavy bleeding, including fibroids, polyps, adenomyosis, and thyroid issues
– Why uterine cancer and precancerous changes need to be ruled out
– How heavy bleeding can lead to iron deficiency
– Why checking ferritin may be important
– Hormonal treatment options, including progesterone
– How hormonal IUDs and birth control can help manage heavy bleeding
– Non-hormonal options for reducing bleeding and pain
– Treatment options for fibroids, polyps, and adenomyosis
– How nutrition and lifestyle may support hormone health

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⏱ CHAPTERS

00:00 — Heavy Bleeding in Perimenopause: When to Pay Attention
00:33 — Why Heavy Periods Happen in Perimenopause
00:42 — The Role of Estrogen & Progesterone
01:34 — What Happens When You Don’t Ovulate
02:03 — Why Periods Become Heavy & Unpredictable
02:43 — What’s Normal During Perimenopause
03:18 — When Heavy Bleeding Becomes a Warning Sign
03:36 — When You Should See a Doctor
03:59 — Other Causes of Heavy Bleeding
04:35 — Fibroids, Polyps & Adenomyosis
04:52 — Thyroid Issues & Heavy Periods
05:22 — Ruling Out Uterine Cancer & Precancerous Changes
05:39 — Why Iron & Ferritin Matter
05:48 — Treatment Options for Heavy Bleeding
06:18 — Progesterone & Hormonal Treatment Options
07:05 — Hormonal IUDs & Birth Control
07:45 — Non-Hormonal Treatment Options
08:25 — Treating Fibroids, Polyps & Adenomyosis
09:10 — Supporting Progesterone Naturally
09:50 — Magnesium & Hormonal Health
10:30 — Anti-Inflammatory Diet & Foods to Limit
11:15 — What to Do If Heavy Bleeding Continues
11:50 — Your Options for Managing Perimenopause Bleeding
12:20 — Final Takeaway & Next Steps
12:29 — End

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▶️ WATCH NEXT

– Is Menopause Shrinking Your Brain? An OB-GYN Explains the Truth – https://www.youtube.com/watch?v=BUjrZHPkxpI&t=1s
– Oral vs. Vaginal Estrogen: Safer Choice? Doctor Explains – https://www.youtube.com/watch?v=Tn1L6aKTeuI&t=16s

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👩‍⚕️ ABOUT DR. JEN

Dr. Jennifer Roelands is a double-board-certified OB/GYN and integrative medicine physician helping women in perimenopause and menopause stop feeling dismissed and start feeling like themselves again.

🩺 In California: www.precisionhealthmdoc.com
🩺 AR, MO, MT, VA, TX: https://app.futureclinic.com/clinics/…
📩 Weekly letter: www.drjenniferroelands.com

💕 STAY CONNECTED
• Instagram → https://www.instagram.com/dr.jenniferroelands
• Pinterest → https://in.pinterest.com/drjenniferroelandsmd

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⚠️ DISCLAIMER
This video is for educational purposes only and is not medical advice. Always consult your physician before starting or adjusting any hormone therapy, supplement, or medication.