06/05/2026
There are many options for treatment and it’s essential to talk to your healthcare provider about the right option for you.
These are not all going to be safe and indicated for every person. It’s important to evaluate the pros/cons and risks/benefits of these options at different phases on your journey.
The options that I often discuss with patients include:
* Ginger during menstrual bleeding. It can decrease bloodflow by about 20% for many women and is often well-tolerated.
* Mirena/hormonal IUD - this is the best studied option and works for 85% of women to decrease blood flow. It is DIFFERENT than the oral contraceptive in that it THINS the uterine lining and does not block your natural hormonal production for most women
* Oral contraceptive - blocks ovulation and as such the uterine lining doesn’t build up as much
* Tranexamic acid - a medication used DURING menstrual bleeding to slow the flow down as it. Used as first line therapy in other countries. It promotes clotting so can’t be used in someone that has other clotting risk factors
* NSAIDs - medication used DURING during menstrual bleeding to slow the flow down. Not as effective as IUD or tranexamic acid, but works well for some people. Need to be careful about digestive risk factors and side effects.
* Surgery - ablation or hysterectomy. There are other risks that come with these procedures, so these are not first-line treatment options, but they can be reasonable options for some women with a thorough discussion about what to monitor overtime.
Book an appointment to learn more!