What should I do if I have heavy periods?

If you are concerned that you have heavy periods, prolonged menstrual bleeding, and other period problems, talk to your doctor.

This chart can help you keep track of your periods. You will want to note how heavy your flow is and whether or not you have cramping. Bring a copy to your doctor for a thorough discussion about how to proceed.


  Date # of Tampons/
Pads Used
(please check one)
Heavy Medium Light
Period Start Date:          
Day 1          
Day 2          
Day 3          
Day 4          
Day 5          
Day 6          
Day 7          
Day 8          
Day 9          
Day 10          
Day 11          
Day 12          
Day 13          
Day 14          
Period End Date:          


Print and give this record to your doctor. The Doctor Discussion Guide can help you have a productive discussion with your doctor about your menstrual problem and treatment options. It's important to talk with your doctor about these issues.

Your doctor may need to run some tests to find the cause of your heavy bleeding.

These tests may include:

  • A pelvic exam: Your doctor is likely to use a speculum to examine the inside of your cervix and two fingers to feel inside your vagina and check your internal organs. Drops of discharge will also be looked at under a microscope
  • Pap test: Your doctor will remove some cells from the opening of your cervix. These cells will then be looked at under a microscope
  • Ultrasound: A picture of the inside of your uterus made by sound waves
  • Endometrial biopsy: Your doctor will take a small piece of tissue from the lining of your uterus
  • Hysteroscopy: An interior picture of your uterus taken by camera inserted through your cervix
  • Blood work