Heavy menstruating female? What to do…

Heavy menstruating female?  What to do….

Heavy menstrual bleeding is considered more than 80 ml or more of menstrual blood loss per period.  Truly, heavy menstrual bleeding (the diagnosis name is menorrhagia) is more often diagnosed on patient report of an amount of frequency of blood loss that interferes with psychosocial or physical well-being. 

flickr.com/ photos/ tweedledeedesigns/ 6994535294

Menorrhagia affects 30% of reproductive age females.

How to treat this?  Nonsteroidal anti-inflammatory drugs (like Aleve and Ibuprofen) DO reduce heavy menstrual bleeding in premenopausal women when compared to placebo.  But, NSAIDs are less effective than tranexamic acid and less effective than the levonorgestrel-releasing intrauterine device (Mirena IUD).

How expensive is tranexamic acid?  Per the GoodRx app, I show that 30 pills of tranexamic acid 650 mg cost $26 near my zipcode.  Not bad. 

If you have life-altering menstrual periods, ask your family physician how she can help.

About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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