What is menorrhagia often associated with?

Menorrhagia refers to excessive or prolonged menstrual bleeding, which is often linked to hormonal imbalances. Hormonal fluctuations, particularly involving estrogen and progesterone, can disrupt the normal menstrual cycle, leading to heavier than usual bleeding. This condition may also be caused by other factors like uterine fibroids, polyps, or certain medical conditions that impact hormonal levels.

The option mentioning frequent periods does not accurately describe menorrhagia, as this condition is characterized by heavy bleeding rather than the frequency of menstrual cycles. Prolonged absence of menstruation pertains more to amenorrhea, while painful menstrual cramps are associated with dysmenorrhea rather than menorrhagia. Hence, identifying hormonal imbalances as a common association with menorrhagia highlights the underlying physiological factors contributing to this condition.