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Causes of Menorrhagia. There are many possible causes of heavy menstrual bleeding. They include: 1  Hormonal imbalance, particularly in estrogen and progesterone; this is most common in adolescents who recently began their periods and women who are getting close to menopause.
The following medical conditions are some of the possible causes of Heavy periods. There are likely to be other possible causes, so ask your doctor about your symptoms. 1  Excessive dieting. 2  Excessive exercise (see Exercise symptoms)  Miscarriage.