Experiencing Heavy Periods With Clots After 40? Here’s Why!

June 12, 2025by admin0

Heavy menstrual bleeding is a common issue that many women experience at some point in their lives. But when it starts happening frequently after the age of 40, it’s time to pay close attention. Whether you’re suddenly needing to change your pad every hour, or your periods are lasting more than a week, heavy periods with clots after 40 can signal more than just a hormonal hiccup.

Let’s dive into what it means, why it’s happening and what you can do about it; because your feminine health matters now more than ever.

What Exactly Are Heavy Periods?

Also called as menorrhagia, this kind of heavy periods would cause excessive or prolonged bleeding during the menstrual cycle. You might be dealing with menorrhagia if:

  • You’re changing pads or tampons every 2 hours
  • You pass large blood clots during your period
  • Your periods last longer than the usual 5 days
  • Your daily routine is disrupted due to heavy bleeding or discomfort

In an ideal period, a woman tends to lose around 30–40 ml of blood. However, in menorrhagia, blood loss can exceed 80 ml or more per cycle.

Why Do Heavy Periods with Clots Happen After 40?

Your 40s are a time of hormonal shifts and transitions, especially with perimenopause setting in. But that’s just one piece of the puzzle. Here are the most common reasons:

  1. Perimenopause

As you approach menopause, your hormone levels, particularly estrogen and progesterone begin to fluctuate. This can lead to irregular ovulation or skipped cycles, causing the uterine lining to build up excessively. Once they shed out, it results in heavy periods with clots. This phase is normal, but the symptoms can be intense.

  1. Uterine Fibroids

These are non-cancerous growths in or on your uterus that are quite common in women over 40. Fibroids can enlarge the surface area of your uterus while disrupting the normal menstrual process; causing severe bleed and clot.

  1. Adenomyosis

During this, the uterine lining tends to grow into the muscle layer of the uterus. This results in thickening and inflammation within. The result? Painful, heavy periods with large clots. And this condition ideally worsens with age and is more common in women in their 40s.

  1. Hormonal Imbalance

After 40, progesterone levels start to decline, while estrogen might remain high. This imbalance can cause the uterine lining to become excessively thick. When your period starts, the shedding of this thickened lining leads to excessive bleeding and clot formation.

  1. Endometrial polyps

These soft, benign growths on the uterine lining can cause spotting, prolonged bleeding and clotting, especially around perimenopause. Though not usually dangerous, they should be evaluated by a gynaecologist.

  1. Blood Clotting Disorders

Rare, but possible, a clotting disorder can impair your body’s ability to control bleeding. If you’ve always had heavy periods but they’ve become worse after 40, it’s worth getting checked for such conditions.

What You Can Do About Heavy Periods With Clots After 40

  • Iron-rich diet: Include leafy greens, lentils, beets, pomegranates and raisins to combat iron-deficiency anaemia.
  • Supplements: Take iron supplements if prescribed. Always consult your doctor before self-medicating.
  • Exercise: Regular physical activity helps regulate estrogen levels and improve blood flow. It also reduces inflammation.
  • For Clotting Disorders: Desmopressin or other specialized medications may be prescribed.

When to See a Doctor?

Don’t brush it off as “just hormones.” Seek medical advice if:

  • Your periods are affecting your daily life
  • You’re passing clots larger than a coin
  • You feel fatigued, dizzy, or look pale (possible signs of anaemia)
  • Your cycles become erratic and unmanageable

Conclusion

Heavy periods with clots after 40 aren’t something to ignore. They may be a natural part of aging or they might signal an underlying condition that needs attention. By understanding the causes and seeking timely help, you can manage the symptoms and protect your overall health. At Healing Pharma, we take feminine health seriously. Our mission is to raise awareness and offer accessible, affordable healthcare solutions to support women at every stage of life; because your health should always be your priority.

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