Fix Your Period
The Period Party Podcast · EP. 119 · July 28, 2021

Could A Bleeding Disorder Be The Cause Of Your Heavy Period?

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podcast guest

Listen on: Apple Podcasts Spotify

I am super excited to have Dr. Fiona Bethea and Jhon Velasco on the podcast to discuss bleeding disorders because I’ve never discussed this topic on the show and, in my experience, bleeding disorders are often overlooked underlying causes of heavy and long periods. Unfortunately, in more cases than not, women with these symptoms are offered a birth control pill or hormonal IUD to stop the heavy periods and long bouts of bleeding, without further investigation.

Dr. Fiona Bethea is a Health Scientist on the Bleeding Disorders Team in the Epidemiology and Surveillance Branch of the Division of Blood Disorders, Centers for Disease Control and Prevention (CDC), and Jhon Velasco is the Manager of Education and Training at National Hemophilia Foundation, where he focuses on women with bleeding disorders, the Spanish speaking community, and mental health.

Fiona and John are both part of the Better You Know campaign, developed by the National Hemophilia Foundation (NHF) in partnership with CDC, which focuses on women who may experience symptoms of a bleeding disorder but haven’t been diagnosed. The aim of the campaign is to raise awareness and knowledge of bleeding disorders and provide resources for women who seek care.

In this episode, we talk about common symptoms of bleeding disorders, how they affect the lives of women who have them, why they often go undiagnosed, the importance of early diagnosis and treatment, how the Better You Know campaign can help you learn more, and advocate for yourself or your daughter, what to expect from testing and treatment of bleeding disorders, and so much more!

Episode Highlights

Fix Your Period

How Fix Your Period Helps Women with Heavy Periods and Fibroids

Heavy periods are one of the most common — and most under-addressed — period problems. Fix Your Period gives you the tools to track, understand, and address the hormonal drivers.

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Flow & Cycle Tracking

Track flow volume, clotting, cycle length, and period duration — the key metrics for understanding and monitoring heavy periods over time.

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Hormone Health Assessment

Take Nicole's free Hormone Health Assessment and get personalised results reflecting your flow and symptom patterns — including whether estrogen dominance may be a driver.

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Heavy Periods & Fibroids Protocols

Fix Your Period Premium includes Nicole's Heavy & Long Periods protocol covering estrogen dominance, liver support, gut health, and anti-inflammatory nutrition.

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Hormonal Root Cause Education

Nicole's signature Period Pillars cover the hormonal drivers of heavy periods — estrogen dominance, poor estrogen clearance, and liver and gut health — with practical steps.

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Nicole.AI

Fix Your Period Premium includes Nicole.AI — trained on Nicole's methodology — giving you personalised guidance on addressing the hormonal root causes of heavy bleeding.

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Personalised Protocol

Fix Your Period Premium unlocks your personalised protocol from your assessment results — a targeted starting point for addressing the hormonal imbalances driving your heavy periods.

Explore the App — It's Free to Start

Frequently Asked Questions

Common questions from this episode — and how Fix Your Period can help.

What causes heavy periods?
Heavy periods (menorrhagia) are most commonly driven by estrogen dominance — a relative excess of estrogen compared to progesterone. Contributing factors include impaired liver detoxification (slowing estrogen clearance), gut microbiome disruption (leading to estrogen reabsorption), insulin resistance, and structural issues like fibroids or polyps.
What are uterine fibroids?
Uterine fibroids are non-cancerous growths in or on the uterus that affect over 70% of women before menopause. They are estrogen-sensitive — meaning they grow in high-estrogen environments. Common symptoms include heavy, prolonged periods, pelvic pressure, and painful periods.
Can heavy periods improve naturally?
Many women experience significant improvements in heavy bleeding through targeted nutritional, lifestyle, and supplementation interventions — particularly those that address estrogen dominance, liver health, and gut function. However, structural causes like fibroids should always be investigated and monitored with a qualified healthcare provider.
Is there an app to help with heavy periods?
Yes. Fix Your Period tracks the metrics that matter most for heavy periods — flow volume, clotting, cycle length, and pelvic pain. Fix Your Period Premium unlocks Nicole's Heavy & Long Periods protocol, Period Pillars education, and Nicole.AI for personalised support.
Do I still need to see a doctor for heavy periods?
Yes. Heavy periods should always be investigated medically to rule out structural causes like fibroids, polyps, or adenomyosis. Fix Your Period works alongside your medical care to address the hormonal root causes.
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