Sângerarea este puternică.

Because Romanian usually puts the definite article at the end of the noun instead of using a separate word like English the.

• sângerare = bleeding
• sângerarea = the bleeding

This is very common in Romanian:

• fată = girl
• fata = the girl

So in this sentence, sângerarea is the definite singular form.

The dictionary form is sângerare.

That is the indefinite form, meaning bleeding.
The sentence uses sângerarea, which is the same noun with the definite article attached.

So:

• sângerare = bleeding
• sângerarea = the bleeding

Este is the 3rd person singular present form of a fi, which means to be.

So:

• eu sunt = I am
• tu ești = you are
• el/ea este = he/she/it is

In this sentence, este means is.

You may also hear e instead of este in everyday speech:

• Sângerarea este puternică.
• Sângerarea e puternică.

Both are correct. E is simply shorter and more conversational.

Because Romanian adjectives must agree with the noun in gender and number.

Here, sângerarea is a feminine singular noun, so the adjective must also be feminine singular:

• masculine singular: puternic
• feminine singular: puternică

Compare:

• curent puternic = strong current
• durere puternică = strong pain
• sângerare puternică = heavy/severe bleeding

So puternică matches sângerarea.

Yes, puternic / puternică literally often means strong or powerful. But Romanian, like English, often uses words like strong more broadly.

With medical symptoms or physical conditions, puternică can mean:

• severe
• intense
• heavy

So in context, Sângerarea este puternică is more naturally understood as:

• The bleeding is severe
• The bleeding is heavy

rather than the very literal The bleeding is strong.

This is the most neutral and standard word order:

• subject
  • verb
    • adjective/complement

So:

• Sângerarea = subject
• este = verb
• puternică = predicate adjective

Romanian word order is somewhat flexible, but changing it usually adds emphasis or sounds literary/stilted. For a learner, this normal order is the safest choice.

Normally, no. In standard Romanian, when you make this kind of sentence in the present tense, you usually keep the verb a fi:

• Sângerarea este puternică.

You cannot normally say:

• Sângerarea puternică. ✗

That would sound incomplete in standard Romanian.

The only common shorter form is:

• Sângerarea e puternică.

A rough pronunciation guide is:

suhn-jeh-RAH-reh-ah ES-teh poo-tehr-NEE-kuh

A few useful points:

• â is a specifically Romanian vowel, pronounced deep in the center of the mouth. English does not have an exact equivalent.
• g before e in sângerarea sounds like the j in job.
• ă is a short central vowel, somewhat like the weak vowel in the a of sofa.

You do not need perfect pronunciation right away, but the important special sounds here are â and ă.

They are two different Romanian vowels.

• â = a close central vowel, a sound that English does not really have
• ă = a short neutral vowel, similar to the unstressed a in sofa

In this sentence:

• Sângerarea contains â
• puternică contains ă

These accents are not optional decoration. They are part of the spelling and can change the word.

Yes, sângerare is a feminine noun.

One clue is the ending -are, which is very often feminine in Romanian. Another clue is the adjective agreement:

• sângerarea
  • puternică

Because the adjective is in the feminine singular form, that confirms the noun is feminine.

This matters because Romanian nouns affect:

• adjective forms
• article forms
• some pronouns and determiners

Yes, but it does not mean exactly the same thing.

• Sângerarea este puternică. = The bleeding is heavy/severe.
• sângerare puternică = heavy/severe bleeding

The second one is a noun phrase, not a full sentence. You might see it in:

• medical notes
• lists of symptoms
• headings
• brief reports

So if you want a complete sentence, use Sângerarea este puternică.

Yes. Depending on context, Romanian might also use more specifically medical wording, such as:

• Hemoragia este severă. = The hemorrhage is severe.
• Sângerarea este abundentă. = The bleeding is heavy/profuse.

Compared with those, Sângerarea este puternică is understandable and natural, but abundentă or severă may sound more medically precise in some contexts.