What causes heavy menstrual bleeding while having anemia?
Patient: About two weeks ago i was feeling nauseous, and had swelling in my ankles, and slightly dizzy, i thought that i may have been pregnant but not sure, but now i have had my period which is very heavy, it has always been heavy. but i had heavy cramps and i have not had cramps in years, i have heavy periods but no cramps, could this have been an ecoptic pregnancy or just the fact that i have anemia and my hemoglobin levels were low Doctor: heavy periods and anemia are related both ways. Prolonged or heavy bleeding causing fall in hemoglobin is indication for blood transfusion most of times. So visit to hospital may be needed if symptoms are present or ongoing bleeding. Gynecologist review check needed. get basic Hemograme with smear.