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Heavy Menstrual Periods - Treatment Overview

In most cases, heavy menstrual periods can be managed with:

  • Medicine to reduce bleeding.
  • Hormone therapy to either stop your periods or make them more regular.

But if these treatments don't work, surgery may be needed to control your bleeding.

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If you plan to become pregnant in the future, or if you're nearing the time when your periods will stop (menopause), you may want to try medicine first.

Hormone treatment

Hormone treatments that are used to help control heavy bleeding include:

Other medicines

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as over-the-counter ibuprofen (Advil and Motrin, for example), also can help. They lower prostaglandins, which cause menstrual pain, and they reduce bleeding during your period. Be safe with medicines. Read and follow all instructions on the label.

Because blood loss from heavy menstrual periods can make you feel very tired and weak (anemic), your doctor may want you to take extra iron.

A medicine called tranexamic acid (such as Lysteda) is sometimes used for women who have bleeding that is heavier than normal. This medicine isn't a hormone. It prevents bleeding by helping blood to clot. Talk with your doctor to find out if this option is right for you.

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