Heavy Periods (Menorrhagia): understand the causes and build a holistic plan

Women’s Health at Global Health Clinics — Auckland, Aotearoa New Zealand

Lisa Edmondson, Nurse, Women’s Health and Hormone Lead, Master Holistic Health Coach

Heavy periods (menorrhagia) can drain energy, disrupt daily life, and affect long-term wellbeing. At Global Health we work alongside your GP or specialist to help you understand what’s going on and build a complementary, sustainable plan.

If you’re soaking through a pad/tampon every hour for several hours, feel faint or short of breath, or you’re pregnant/postpartum with heavy bleeding, seek urgent medical care (call 111 in NZ).


How do I know if my periods are “heavy”?

Common signs include:

  • Soaking through one or more pads/tampons every hour for several hours
  • Double protection (tampon + pad) needed to control flow
  • Waking at night to change protection
  • Bleeding longer than 7–8 days
  • Passing large clots
  • Cutting back daily activities because of the flow
  • Symptoms of low iron/anaemia: fatigue, weakness, dizziness, shortness of breath, chest discomfort

Why heavy bleeding happens

Heavy periods are a symptom, not a diagnosis. Causes can include:

  • Uterine conditions: fibroids, endometrial polyps, adenomyosis, endometriosis
  • Hormonal patterns: anovulatory cycles (teens, perimenopause), PCOS, thyroid imbalance
  • Devices/medicines: copper IUD, some medications (your GP can review)
  • Bleeding disorders or post-pregnancy changes
    Pinning down the “why” guides the “what next”.

Medical treatments

Your GP/specialist may recommend:

  • NSAIDs (e.g., ibuprofen) during menses to reduce pain and bleeding
  • Tranexamic acid during heavy days to reduce blood loss
  • Hormonal options (e.g., combined pill, progestins) or a levonorgestrel IUD (e.g., Mirena)
  • Iron if you’re anaemic
  • Surgery when appropriate (e.g., polypectomy, fibroid treatment, endometrial ablation, or other procedures)

We do not discourage medical care. Many clients choose a both/and approach—medical treatment plus holistic strategies for roots-and-routines support.


Holistic care at Global Health

1) Hormonal Health Coaching with Lisa

Work one-to-one with Lisa Edmondson (Nurse, Master Health Coach, Women’s Hormone Specialist) to:

  • Map your cycle (flow, pain, PMS, mood, sleep, energy) and identify patterns
  • Build a food-first plan to stabilise blood sugar, reduce inflammation, and support hormone metabolism
  • Create a flare plan (heat therapy, magnesium protocols, rest/movement pacing)
  • Align strategies with fertility/contraception goals and any medical treatment

2) Hair Analysis for personalised nutrition & lifestyle

Our hair-analysis reports provide an adjunctive snapshot used to tailor nutrition and lifestyle coaching (e.g., trends related to metabolism, stress load, and recovery). We use results to inform your plan (iron-rich foods, vitamin C co-intake, possible cofactors) and to prioritise habits—this is not a diagnostic test and always sits alongside your GP’s investigations.

3) HOCATT™ sessions (supportive wellbeing)

The HOCATT™ combines steam, a carbonic-acid pre-cycle, and transdermal ozone in a clinician-supervised session aimed at circulation, relaxation, and recovery. Many clients find it helpful for stress resilience and post-period fatigue.

  • We use conservative settings, screen for contraindications, and coordinate timing with any medical care.
  • HOCATT is a wellbeing modality, not a disease treatment; it’s one tool within a broader plan.

4) Food-first strategies (iron & inflammation)

  • Iron-rich foods: lean red meat, mussels, legumes, leafy greens; pair with vitamin C (kiwifruit, citrus, capsicum) to enhance absorption
  • Gentle on the gut: consider how/when you take iron (if prescribed) and which form you tolerate—coordinate with your GP
  • Reduce inflammatory load: emphasise vegetables, whole grains, legumes, nuts/seeds, olive oil, omega-3-rich seafood; limit ultra-processed foods and excess alcohol
  • Smart caffeine & calcium timing away from iron if low ferritin is an issue (your clinician will advise)

5) Movement, sleep, and stress

  • Cycle-synced movement: lighter in heavy days; build strength and aerobic capacity across the month
  • Sleep hygiene and nervous-system regulation (breathwork, mindfulness) to improve pain thresholds and energy
  • Pelvic-health support: referral pathways to pelvic physio when cramps, pelvic floor tension, or dyspareunia are part of the picture

When to see a doctor (or go urgently)

  • Bleeding so heavy it impacts daily life, or periods lasting >8 days
  • Signs of anaemia (breathless, dizzy, very tired)
  • Sudden change in your cycle, new severe pain, or bleeding after sex
  • Pregnant/postpartum with heavy bleeding → urgent care
  • In NZ, call 111 if you feel faint, short of breath, or unwell with heavy bleeding

Your integrated pathway at Global Health

  1. Comprehensive intake (symptoms, goals, cycle, nutrition, stress, sleep)
  2. Collaborative plan with Hormonal Health Coaching (Lisa), Hair Analysis insights, and optional HOCATT sessions
  3. Coordination with your GP for testing and medical options
  4. Review & refine: track cycles, iron status, energy, and quality of life

Ready for support?
Book a Women’s Health consultation at Global Health (Auckland). We’ll help you build a complementary, evidence-aware plan that respects medical care and supports the whole you.