How to reduce heavy periods?

Heavy bleeding may mean frequent changes of pads or tampons, leakage, large clots, prolonged bleeding, or fatigue that limits normal activities. Possible contributors include uterine fibroids, adenomyosis, endometrial polyps, endometrial hyperplasia, irregular ovulation in polycystic ovary syndrome, and the changing cycles of perimenopause. Ongoing blood loss can lead to iron deficiency anaemia, even when the cause is not obvious from symptoms alone.

Keep a record of bleeding, clots, pain, cycle timing, and the protection you use. A clinician may suggest a non-hormonal medicine during bleeding, a hormonal option, or treatment aimed at a structural cause. Tests may include a blood test and, depending on your symptoms, an examination or scan. Ask before using anti-inflammatory medicines if you have stomach ulcers, kidney disease, asthma triggered by these medicines, take blood thinners, or could be pregnant. Eat iron-containing foods and seek advice before taking supplements.

Get urgent help if bleeding causes faintness, chest discomfort, breathlessness, marked weakness, or difficulty staying upright. Seek prompt assessment for bleeding in pregnancy, after menopause, between periods, after sex, or alongside severe pain or fever. Even without an emergency symptom, book an appointment when heavy bleeding is recurring or disrupting daily life.

Ask which cause is most relevant to investigate, whether you should check your blood count and iron, and which reduction option matches your contraception or pregnancy goals. Ask what improvement to expect and when to return if it is not enough.