Understanding HEAVY Menstrual BLEEDING - Dr Lora Shahine

In this video we will discuss heavy menstrual bleeding, also known as menorrhagia. I cover various aspects of this common issue, including what's considered normal, seven clues to determine if you have excessive bleeding, potential causes, and how to prepare for your doctor's visit. If you're concerned about heavy periods, this video provides valuable insights and tips to help you on your journey to better reproductive health. Subscribe to my channel for weekly content on women's health, fertility, and more. Don't forget to like the video and leave your questions in the comments. Wishing you love, luck, and fertility! ❤️🤞🍍

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ABOUT : Lora Shahine, MD, is a double board certified reproductive endocrinologist and OBGYN currently practicing at Pacific NW Fertility in Seattle, WA. Originally from North Carolina, Dr. Shahine graduated with a Bachelor of Science in biology from Georgetown University in Washington, DC, and completed her training in medical school at Wake Forest University School of Medicine, residency in obstetrics and gynecology at the University of California at San Francisco, and fellowship in reproductive endocrinology and infertility at Stanford University.
As Clinical Assistant Professor at the University of Washington and Director of the Center of Recurrent Pregnancy Loss at Pacific NW Fertility, she is committed to providing excellence in patient care, teaching the next generation of women’s healthcare providers, and continuing research in the fields of fertility and recurrent miscarriage. She has published over 75 peer-reviewed research projects and is an active member of the American Society of Reproductive Medicine, Seattle Gynecology Society, and the Babyquest Fertility Grant organization. Dr. Shahine is an accomplished author including 'Planting the Seeds of Pregnancy: An Integrative Approach to Fertility Care' and best-selling book, 'Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.'
Whether through her research, books, lectures, or active social media presense Dr. Shahine is passionate about educating on reproductive health and supporting the feritlity community.

DISCLAIMER: The content contained herein is provided for informational and/or entertainment purposes only and not intended as a substitute for advice provided by a healthcare professional. Use the provided information at your own risk. If you have or suspect that you have a medical problem, please contact your health care provider.

#MenstrualHealth #WomenWellness #reproductivehealth

heavy menstrual bleeding, menorrhagia, women's health, reproductive health, normal period bleeding, excessive bleeding, causes of heavy periods, doctor's visit preparation, gynecological issues, menstrual health insights, dr. lora shahine, menstrual disorders, fertility and health, women's wellness tips, anemia symptoms, menstrual cup measurement, menstrual products, treatment options for heavy bleeding, pcos and heavy periods, hormonal disorders in women

Chapters
0:00 Intro
0:20 About Dr. Lora Shahine
0:53 Video Overview
1:24 #1 - How much bleeding is normal
3:24 #2 - Seven clues for excessive bleeding
4:43 #3 - Causes of heavy bleeding
6:55 #4 - Test and treatment options
8:06 Things to do before doctor visit
9:44 Recap
10:08 Outro

[aimeeackerson]

I'm going to try again. I've been trying for the last 10+ years unsuccessfully to find out what is wrong with me. Every single doctor and OBGYN's "fix" is hormonal birth control, which I can no longer take due to other health reasons... so then I'm basically told "just deal with it, this is your normal". I just want normal healthy periods, not drugs thrown at me 😭

[SWold-fegj]

Thank you for the transparency in answering a question many of us have asked repeatedly, and experienced medical gaslighting about in response to our concerns. You are a huge blessing!

[kayebohemier]

I've had heavy bleeding since my 20s. Changed a super plus tampon every hour for two days. Had to change overnight pads 2-3 times a night. Flooded an airplane seat on a 2 hour flight because it took so long to deplane and a rush of blood came out when we landed. Obgyn never cared and never tested me for anemia until I had pelvic pain suddenly. Had a cervical polyp removed, and that's helped my bleeding a lot. Got anemia tested when I insisted and it's a wonder I was still upright from losing so much blood every month for years. I had so many advanced deficiency symptoms that I now realize were on the cusp of becoming a health emergency. Also had a uterine biopsy (negative) and a saline sonogram that showed two more polyps. They also found a giant fibroid outside of my uterus that explains why my menstrual disc kept flipping inside and why tampons had started hurting and why I feel pelvic pressure and have to pee a lot. I'm now only bleeding for 5 days. It's still heavy, but now the overnight pad usually lasts through the night, and I can go 2-3 hours between pad changes. It's wild how they just shrugged and didn't care or refer me for testing for so long. For years, they just tried to put me on BC without checking what was wrong. I guess reporting pain changes everything. 🙄

[rebeccablane]

60 mL .... I lose that in about 4 or 5 hours for 4 days straight, including while sleeping. But if I talk to my doctor about that, I get, *shrug* "Yeah, thats normal." 😂

[asha]

Thank you so much for this. I had to go to the hospital after constant fainting spells during my cycle and heavy bleeding. My Red blood cell count was 2.8. I was dying. That was in April, since then, I have been taking iron supplements and also herbs. I have changed my diet to mostly salads and fruit. I'm working on staying away from dairy but I love Pizza but health is wealth and I am thankful for this shift in better health. Thank you for taking the time out to inform us. I had no idea that my cycle was abnormal. It's been better since I have made these changes.

[adapcast]

I have to use adult diapers during the first 2 days because overnights pads just won’t work for me. Today I had a huge bllod cloth come out during my shower almost the size of my palm 😢 I’m a little concerned about that to be honest, I have an appointment in a week to get checked.

[MsTommyP]

Well this is scary. I've changed my cup 5 times today (overflowing each time) it's just after 12 noon. Also this is my normal level of bleeding.

[crystalscheider]

I get told that i need to try birth control, and lose weight. No one seems to be sympathetic or give me many answers. I get take iron and ibuprofen. Thank you for thos video.

[ayamethompson]

A few years ago. I was on my bathroom floor in pain. Pasting big clots. I went to the ER. I was soaking through a pad every hour. The doctor said I have uterine leiomyomas. I was put on birth control. So, the clots are smaller, and i get cramps just 1 or 2 days. The problem I'm having now is long periods. I can deal with heavly flow and cramps but not the long period.

[EnixQueen]

Before my iud mine were 8 to 10 days long. I was not able to hold a job due to how heavy they were. I couldnt leave my house. I got an iud and it made it very light. Ive had my iud and within 7 weeks the strings got lost. Doc tried to remove it last tuesday and its embedded. Now im not eligible for another iud. They told me heavy periods are normal after having 4 kids. Im dreading getting the iid out because even though its embedded i can still do things in my life. 😞

[saraking]

I really like you. You are so informative and provide so much more insight and information than a typical obgyn. I wish these where all things we are taught as girls so we know what to expect and what is and isn’t normal.

[NatashaGovindasamy]

Thank you for your informative video. My bleeding sessions are torture. I have been bleeding so heavy off and on for the past 2 years that it's driving me crazy. I have been to a doctor who has done a menopausal screen blood test for me and it can back negative. He says nothing is wrong. To explain how bad it gets, I mess my clothes, I go through a pack (18 pads) of ALWAYS NIGHT PADS in 1day. My bathroom floor looks like a murder scene. When I get out of the shower, the blood is running down my thighs. I cannot stand for too long, I bleed excessively. My stomach feels like something is ripping itself apart inside. I'm in continuous discomfort. I feel tired and moody all the time. I eat beetroot and livers to help boost my blood. My blood count according to another test result is sitting at half it's level, 6. So I ask myself how can nothing be wrong when I am losing so much blood. My blood loss lasts a month, sometimes 3 months straight. I am in such distress because no one understands. I went to my GP, hoping he can help, he gave me a birth control to stop the bleeding, it did but it comes back again. My stomach looks like a rugby ball protruding out from it. It feels like something is hard and round at the tip of the point of my stomach, sometimes it hurts and sometimes it does not. I'm lost for words at this point. I live in South Africa, our health system is not the best. Doctors here don't have their patients best interest at heart. It's quite overwhelming, cause I feel alone and no help is arriving at time soon. 😢😔

[daluladesigns]

I’ll bleed for 7 days and sometimes will go through a super plus in about 20 minutes or less. On my average period, i’ll finish off half a 30 qty box of tampons. Not only that, but my periods are painful! I don’t do well on birth control and so I’m really thinking its time to get my uterus out. My irons been affected and so has my life so thanks for this vlog!

[meganthompson]

I use 2-3 of those "over nite" pads a day for the first 2 days of my cycle; there covered in blood, like they've been soaked in blood. Should I be worried?

[SamarraKing]

Im only 19, an my doctor doesn't know why i have extreme periods. I have to use the nighttime pads as normal ones if not im doubling up, have to use the largest tampons there are but still fill them in 30 min. Did yhe ultrasounds for endometriosis but didn't find anything. She put me on birth control for my cramps the way id describe it is that its like a white hot jack hammer being turned on and jabbed in my overies. Ive had to miss work because i was in so much pain that i ended up getting fired because it wasn't a "good enough excuse". My periods can last two weeks or just one day. My boyfriend who i live with thinks that "im a big baby" because he thinks its not as bad. This really gave me some good advice for my next visit. Super helpful.

[candicesingleton]

I use 2 overnight pads and a pullup and sometimes still go through

[desertoasis]

From what I understand, heavier obese women menstruate more than skinny thin women. Two of my skinny gal pals only bleed 3 days a cycle. I'm larger than them and I bleed usually 7 days every cycle. Problem is that for the past year and a half now, I've bled every other week, so I'm having 26 menstrual cycles a year. That's too much! And now, I've been on my period 10 days already. Hormone imbalance, perimenopause, thyroid issues are probably the root causes. I can't wait to stop menstruating permanently. Menopause would be a Godsend.

[GabrielleMcKelvie]

I know everyone has the morning period flood, but I woke up one morning wondering why my pants where wet. I think I had period underwear and a pad on, and as soon as I took off my pants it was like a DAM. I got in the shower and cleaned up, but that was insane and I took the first hour off school. Not sure if that’s classed as “heavy” but it was a lot, and the first time that happened to me.

Also, I have diagnosed anemia (which I take pills for) so wondering if that has anything to do with the amount of blood? Ive fainted quite a few times because of my high white blood cell count from an infection on my toe (lol), and also because I have low iron. I’ve always known I’ve had a slightly heavier period than average, I really want to know if my periods are causing my anemia or at least contributing. Sorry this was long!

[keikei]

Thank you for this informative video. Helped me so much

[yariburgos]

I am currently on my second period of the month, the first was severely abnormal like almost black for 2 days then bright red, now it's very heavy I'm on my 4th day I'm changing every 2 hours with a lot of smaller clots and every now and again larger grape sized, is this something to go to the doctor for?