When it comes to periods, everyone is unique. That said, if you notice severe, heavy bleeding during your cycles over time (way more than what you’re used to) it’s always a good idea to check in with your provider. Unusually heavy periods can be a sign of a very common (and kind of uncomfortable) health issue called menorrhagia. Thankfully, there are many treatment options available to address it. So if you think your flow is heavier than usual, connect with your provider to see what’s right for you based on your health history.
To help you get the conversation started, we’ve put together some information, including the benefits and risks for each treatment option. Take a look, jot down any additional questions and bring them to your appointment so you can make an informed decision about your next steps.
Medications
Depending on the cause of your bleeding, medications can lighten menstrual flow, help make periods more regular, or even stop bleeding completely.
Medical therapy for menorrhagia may include:
Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), can help reduce menstrual blood loss. NSAIDs have the added benefit of relieving painful menstrual cramps (dysmenorrhea).This class of medication may cause stomach problems so you should discuss risks with your provider.
Tranexamic acid. Tranexamic acid (Lysteda) helps reduce menstrual blood loss and only needs to be taken at the time of the bleeding. Oral contraceptives. Aside from providing birth control, oral contraceptives can help regulate menstrual cycles and reduce episodes of excessive or prolonged menstrual bleeding. There are risks with this class of medication including stroke and blood clots so talk to your provider.
Oral progesterone. The hormone progesterone can help correct hormone imbalance and reduce menorrhagia.