Understanding Heavy Menstrual Bleeding

Heavy menstrual bleeding, also called abnormal uterine bleeding, affects many women during their reproductive years and into perimenopause. If your period lasts longer than seven days, causes fatigue from blood loss, or interferes with daily life, it’s important to seek evaluation from a trusted OB/GYN.

Fortunately, many women manage heavy periods successfully without major surgery.

Identify the Root Cause First

Before selecting treatment, your physician will determine the underlying cause. Heavy bleeding may stem from fibroids, hormonal imbalance, endometriosis, thyroid disorders, or perimenopause.

If imaging or further evaluation is needed, your provider may recommend diagnostic procedures such as hysteroscopy or other options outlined in our overview of Minimally Invasive Gynecologic Surgery (/minimally-invasive-surgery).

Non-Surgical Treatment Options

Hormonal Therapy

Hormonal birth control pills, progesterone therapy, or a hormonal IUD can regulate cycles and significantly reduce bleeding. These treatments also provide contraceptive benefits.

If you are exploring hormonal regulation for cycle control, you may also benefit from reading about our comprehensive Contraceptive Counseling Services (/contraceptive-counseling).

Non-Hormonal Medications

Medications such as tranexamic acid reduce menstrual blood loss without altering hormone levels.

Endometrial Ablation

For women who no longer plan future pregnancies, Endometrial Ablation (/endometrial-ablation) offers a minimally invasive, in-office procedure that reduces or stops heavy bleeding.

Lifestyle Support

Nutritional optimization, iron supplementation, and weight management can support hormonal balance and reduce symptom severity.

Take Control of Your Cycle

Heavy periods should not dictate your schedule. With personalized evaluation and evidence-based care, you can restore balance and improve daily comfort.

Schedule a consultation with Women’s Health and Menopause Center to explore non-surgical treatment options tailored to you.

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