I don't think a significantly elevated d dimer test should be attributed to normal menstrual bleeding but I'm unsure whether extremely heavy menstrual bleeding can cause it. Nevertheless it was best to check it out &rule out venous thromboembolism, malignancy, liver disease& serious infection. Follow-up with your MD for repeat levels& if still high, consult a hematologist to look for coag disorder
Answered 6/2/2021
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