10 Things To Know About Heavy Periods After 40

10 Things To  Know About Heavy Periods After 40

By Rajeshwaari Kalla | July 16, 2025 | Images: Canva

The uterine wall

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The uterus has a thick wall made up  of three layers- endometrium, myometrium, and perimetrium,  from the innermost to the outermost

What happens in adenomyosis?

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In this condition, the endometrial layer starts to grow directly into the myometrium, in a diffuse or  focal manner

Possible causes

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While it is not entirely clear, the cause might be related to a history of curettage, increased oestrogen levels, or multiple childbirths

Who is at risk

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It is more commonly observed in women who have had children and are often above the age of forty

Excessive bleeding

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Menorrhagia, meaning excessive menstrual bleeding, is a common symptom of adenomyosis. It occurs due to inadequate contractions of the uterus

Painful period

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Owing to the uterine contractions, the menses become painful in proportion to the extent of ingrowth of the endometrium into the myometrium

Dyspareunia, painful intercourse

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It refers to painful intercourse, which may be seen in women who have adenomyosis. It may be a result  of an enlarged uterus

Frequent urination

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Frequent urination in adenomyosis is often due to an enlarged, tender uterus, but other causes should also be ruled out.

Difficulty in having children

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Adenomyosis can cause infertility by disrupting the uterine wall and interfering with sperm transport.

Diagnosis and tests 

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Your gynaecologist may advise an ultrasound as well as an MRI for specific diagnosis and to rule out other causes of abnormal uterine bleeding

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