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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.
Polyps (benign, fleshy growths on the lining of the uterus) can also be a source of heavy periods. Several blood clotting disorders, such as von Willebrand's Disease, can prevent blood from clotting correctly. A condition called neoplasia may also cause heavy bleeding.