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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.
Heavy menstrual bleeding can also be due to some inherited blood disorders that affect clotting. Benign Growths or Cancers. Cervical, ovarian, or uterine cancer can all cause heavy bleeding, but these conditions are not common. Benign, or noncancerous, tumors in the uterus can cause heavy bleeding or long periods.