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Bibliography Smith AD, Refsum H

You might have heavy periods if you: Soak through a pad or tampon every hour for several hours Use two pads at once to control bleeding Bleed for more than 7 days Pass clots larger than a 10p coin Have to change protection during the night Avoid activities because of your period What causes heavy periods

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MRI can also be useful for the assessment, especially if the ultrasound is negative and there is clinical concern regarding other conditions like a stress fracture

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