How to slow a heavy period?

Heavy menstrual bleeding can result from changes in the uterine lining, fibroids, adenomyosis, polyps, hormonal changes around perimenopause or polycystic ovary syndrome. Some people also develop iron deficiency anaemia after ongoing blood loss. The bleeding pattern itself does not identify one cause, so the assessment may include a pregnancy test, blood tests or pelvic imaging.

Record when bleeding starts, how often you change protection, clots, pain and any medicines you take. Arrange a medical review to discuss options such as anti-inflammatory medicine, tranexamic acid, hormonal treatment or treatment directed at a uterine cause. Do not start aspirin for bleeding, and check before using anti-inflammatory medicine if you have stomach, kidney, bleeding or pregnancy concerns. Eat iron-rich foods while awaiting advice.

Seek urgent medical care if bleeding is rapidly soaking protection, you feel faint, short of breath, unusually weak or confused, or have severe pelvic pain. Get prompt advice for bleeding in pregnancy, after menopause or after a procedure. Emergency assessment is especially important when heavy bleeding is accompanied by a racing heartbeat, pale skin or collapse.

Ask what may be causing the pattern, whether your blood count and iron stores should be checked, which treatment fits your medical history, and what amount of bleeding should trigger urgent help.