It isn’t uncommon for women’s cycles to change over time. What was once a manageable few days each month can gradually become heavy, uncomfortable periods that disrupt work, sleep, and everything in between.
Though some variation is expected over the years, ongoing changes, such as heavy bleeding, may signal that your body is undergoing hormonal or structural shifts that deserve evaluation.
At Ideal Gynecology, serving the Greater Atlanta area, we’re dedicated to helping women make sense of the changes that occur at every stage of reproductive health. Our team can help you uncover the cause of irregular bleeding and offer clear, evidence-based solutions tailored to your needs.
One of the most common reasons for heavier periods in your 30s and 40s is hormonal imbalance. As progesterone levels dive, the uterine lining may not shed efficiently.
This can lead to a thicker buildup and heavier bleeding during your cycle. This hormonal shift is part of the natural transition toward menopause, known as perimenopause, which can last for several years.
Hormones, however, aren’t the only factor. Uterine fibroids (benign tumors) that grow in or on the uterus are more likely to develop as you age. Fibroids, depending on their location and size, can lead to increased bleeding, pelvic pressure, or both.
Similarly, endometrial polyps or adenomyosis (a condition where uterine lining tissue grows into the muscular wall) can cause periods to become longer, heavier, or more painful.
Other factors, such as thyroid disorders, bleeding conditions, or even stress, can also affect your cycle. That’s why a full evaluation is necessary. Don’t just assume that these changes are merely part of getting older.
Perimenopause can bring a wide range of menstrual changes. Some women experience shorter cycles while others go weeks or months without a period, only to have one return suddenly and heavily.
Even though this transition is normal, it can be confusing. What’s more, in some cases, excessive bleeding can lead to anemia, fatigue, and reduced quality of life.
If your bleeding is increasing or your cycle has become unpredictable, the team at Ideal Gynecology offers comprehensive evaluations using in-office diagnostic tools. These may include ultrasound, hysteroscopy, or a biopsy, depending on your symptoms and medical history.
These procedures allow us to assess for fibroids, endometrial thickening, or other conditions that could be contributing to heavier bleeding. We also provide effective and convenient nonsurgical treatment options.
Endometrial ablation, performed in-office, is one such option that works by removing the uterine lining to reduce or stop bleeding entirely. Hormonal therapies, such as low-dose birth control pills, hormonal IUDs, or other medications, can also help regulate bleeding and stabilize hormonal fluctuations.
Each plan is personalized, factoring in your age, symptoms, future fertility goals, and overall health. Our providers take the time to explain your options and ensure you're making informed decisions about your care.
It’s wise to contact a provider if you notice:
These signs can indicate an underlying issue that needs medical evaluation.
You don’t have to accept heavy periods as inevitable. The team at Ideal Gynecology offers safe, effective solutions that fit your lifestyle.
Contact us at our Greater Atlanta, Georgia office today to schedule an appointment and find the support you need to feel confident and in control of your cycle.
