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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.
A heavy flow is among the reasons for passing blood clots during a period. Anticoagulants that the body produces to allow the blood flow and prevent clots are not as effective during heavy menstrual cycles. As a result, clotting is more likely to occur and might cause the menstrual bleeding to seem thicker.