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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.
Some women have migraines related to their cycles, premenstrual syndrome or other conditions that can cause heavy bleeding, tiredness and even dizziness to come along with a period. There are many reasons a woman might experience dizziness during her menstrual cycle.