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if you have bleeding thats lasting longer than 8 days youre bleeding between periods your your cramps are so painful that its affecting your ability to function or youre having heavy periods as evidenced by the fact that youre passing clots that are at least 1 in in width um youre having to wear both pads and tampons between because youre bleeding too much um you have to change them every 1 to two hours or you have to get up and change a pad or a tampon in the middle of the night these are all things that you should talk to your doctor about it can be a sign of other problems the explanation for the abnormally long or heavy periods is going to depend on your body and situation but usually it comes down to four different causes you might have uterine fibroids or growths in your uterus sometimes its due to a clotting disorder or a thyroid problem and sometimes youre not ovulating or releasing an egg every month and that can contribute to heavy bleeding if youre losing too much