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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.
1 Uterine, ovarian, and cervical cancer; these are rare but possible causes of heavy menstrual bleeding.  Other medical conditions that can prevent normal blood clotting, including liver, kidney, or thyroid disease, and bleeding or platelet disorders.