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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.
3 doctors agreed: 1  Bleeding, anemia: Fibroids, also called leiomyomas are benign uterine tumors (not cysts) that can cause pain and heavy bleeding with your periods. If they are causing very heavy periods, this can lead to anemia and the dizziness, lightheadedness, etc you described. They are easily diagnosed with an ultrasound.