Ways to stop heavy periods

Heavy menstrual bleeding may involve flooding, clots, bleeding that lasts longer than expected, or needing to change protection very often. It can lead to tiredness or iron deficiency anaemia. Possible contributors include uterine fibroids, adenomyosis, endometrial polyps, endometrial hyperplasia, polycystic ovary syndrome, and the hormonal changes of perimenopause. A clinician may ask about your cycle, examine you, and arrange blood tests or an ultrasound to identify the pattern and cause.

Keep a brief record of bleeding days, flooding, clots, pain, medicines, and any dizziness. A clinician may discuss tranexamic acid or anti-inflammatory medicines, depending on your health and other medicines. Hormonal contraception, such as a combined pill or a hormonal intrauterine system, can make bleeding lighter for some people. If a fibroid or polyp is contributing, a procedure may be considered. Do not start iron supplements without advice if the diagnosis is uncertain; a blood test can guide treatment.

Arrange medical assessment if heavy bleeding is new, keeps returning, affects work or sleep, or comes with marked fatigue. Seek urgent help for bleeding with faintness, severe weakness, breathlessness, chest discomfort, or severe pelvic pain. Bleeding after pregnancy, after menopause, or between periods also needs prompt review because the cause may differ from ordinary menstrual bleeding.

Ask what might be causing the bleeding, whether you need a blood count or iron test, and which treatment fits your plans for pregnancy. Ask how quickly a medicine should help, what side effects to watch for, and when a scan or procedure would be appropriate.