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You suspect you may have endometriosis or adenomyosis

How do I know if my bleeding is too heavy?

Topic:Symptoms
Affected areas:pelvicsystemicabdominal

If you’re changing a pad or tampon every 1–2 hours, bleeding longer than 7 days, passing large clots, or frequently bleeding through clothes or bedding, those are practical signs your flow may be heavier than expected. Many patients also notice they’re planning their day around bleeding or avoiding work, school, exercise, or intimacy because of it.


Heavy bleeding can also show up as symptoms of low iron or anemia—fatigue, weakness, dizziness, pale skin, headaches, or getting short of breath with exertion. Even if your labs come back “normal,” bleeding that disrupts your life or feels hard to manage is worth a closer look. Our team can evaluate your bleeding pattern, symptoms, and pelvic history to identify treatable causes and discuss next steps—reach out to schedule a consultation.

An illustration of a female sitting down, hunched over in discomfort.

Think You Might Have Endometriosis?

If you suspect endometriosis or adenomyosis may be causing your symptoms, our specialists can provide expert evaluation and guidance on next steps.

Schedule a Consultation

Reach Out

Have a question?

Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420