Treatment FAQ

what is the best treatment for heavy, painful periods

by Hilton Leuschke Published 3 years ago Updated 2 years ago
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Medical therapy for menorrhagia may include: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), help reduce menstrual blood loss. NSAIDs have the added benefit of relieving painful menstrual cramps (dysmenorrhea).Jul 1, 2020

What to expect when treating heavy periods?

May 04, 2017 · Painkillers like ibuprofen and diclofenac – both of which are non-steroidal anti-inflammatory drugs (NSAIDs) – are often used for the relief of menstrual pain and cramps, and also for heavy periods. In addition to relieving the pain, …

What are my treatment options for heavy periods?

Mar 12, 2020 · Some OTC pain relievers can help reduce blood loss during your periods. This includes nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil, Motrin, or aspirin. NSAIDs don’t lighten bleeding as...

How to deal with extremely heavy periods?

Feb 02, 2017 · At-home treatments can be helpful in relieving painful menstrual periods. Types of things to try at home include: using a heating pad on your pelvic area or back massaging your abdomen taking a...

Is there natural cure for heavy periods?

Feb 13, 2020 · Some of these treatments include medications and supplements to alleviate pain or provide supplemental iron. Certain intrauterine devices and birth control pills can also help regulate your periods, treat heavy bleeding, and in some cases even eliminate menstruation. These treatment options can be excellent choices for some people.

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What medication is used to stop heavy menstrual bleeding?

Tranexamic acid is used to treat heavy bleeding during the menstrual cycle (monthly periods) in women. Tranexamic acid is in a class of medications called antifibrinolytics. It works to improve blood clotting.

Why is my period extremely heavy and painful?

Small, benign growths on the lining of the uterus (uterine polyps) may cause heavy or prolonged menstrual bleeding. Adenomyosis. This condition occurs when glands from the endometrium become embedded in the uterine muscle, often causing heavy bleeding and painful periods.Jul 1, 2020

How can I stop blood clots during my period?

Wear a tampon and a pad on your heaviest flow days. You can also wear two pads together. High-absorbency tampons and pads may also help catch the blood flow and clots. Use a waterproof pad or even a towel placed on top of your sheets at night.

What do large blood clots during period mean?

Blood can coagulate in the uterus or vagina at any time throughout your period, just as it does to seal an open wound on your skin. Then, when it passes during menstruation, you see clots. But large clots, such as those that are bigger than a quarter, may indicate the presence of uterine fibroids.

What are the factors that determine menorrhagia?

Specific treatment for menorrhagia is based on a number of factors, including: Your overall health and medical history. The cause and severity of the condition. Your tolerance for specific medications, procedures or therapies. The likelihood that your periods will become less heavy soon.

What is the best treatment for menorrhagia?

Oral progesterone. The hormone progesterone can help correct hormone imbalance and reduce menorrhagia. Hormonal IUD (Liletta, Mirena). This intrauterine device releases a type of progestin called levonorgestrel, which makes the uterine lining thin and decreases menstrual blood flow and cramping.

What is the procedure to inject salt water into the uterus?

Hyster osonography. During hysterosonography (his-tur-o-suh-NOG-ruh-fee), your doctor uses a thin, flexible tube (catheter) to inject salt water (saline) into the hollow part of your uterus. Using an ultrasound probe, your doctor obtains images of the inside of your uterus and checks for any irregularities. Hysteroscopy.

How are embolic agents injected into the uterine artery?

Small particles (embolic agents) are injected into the uterine artery through a small catheter. The embolic agents then flow to the fibroids and lodge in the arteries that feed them. This cuts off blood flow to starve the tumors.

Can you have a pregnancy after a hysterectomy?

Both endometrial ablation and endometrial resection benefit women who have very heavy menstrual bleeding. Pregnancy isn't recommended after this procedure. Hysterectomy. Hysterecto my — surgery to remove your uterus and cervix — is a permanent procedure that causes sterility and ends menstrual periods.

What is the purpose of a hysteroscope?

Hysteroscopy. During hysteroscopy, your doctor uses a thin, lighted instrument (hysteroscope) to view the inside of your uterus. Your doctor will most likely ask about your medical history and menstrual cycles. You may be asked to keep a diary of bleeding and nonbleeding days, including notes on how heavy your flow was and how much sanitary ...

How to remove fibroids?

Depending on the size, number and location of the fibroids, your surgeon may choose to perform the myomectomy using open abdominal surgery, through several small incisions (laparoscopically), or through the vagina and cervix (hysteroscopically).

What is UT Southwestern?

As one of the nation’s top academic medical centers, UT Southwestern offers a number of clinical trials aimed at improving screening, diagnosis, and treatment of painful periods and heavy bleeding.

How often do women have periods?

For most women, menstrual cycles occur about every 28 days, and periods last four to seven days. Abnormal menstruation includes problems such as heavy bleeding, known as menorrhagia, irregular menstrual bleeding, and pain during periods, known as dysmenorrhea. UT Southwestern gynecologic surgeons, specialists, and their teams are nationally ...

What causes uterine bleeding?

Adenomyosis : Endometrial tissue, which normally lines the inside of the uterus, grows into the muscle wall of the uterus. Bleeding disorders : Certain inherited bleeding disorders, such as von Willebrand’s disease, which prevents blood from clotting properly, can cause abnormal bleeding. Cancer : Cervical cancer and uterine cancer can cause heavy ...

How long does it take for a tampon to bleed?

Bleeding for more than seven days. Bleeding that soaks through one or more tampons or pads every hour for several hours in a row. Need to use multiple pads to control menstrual flow. Need to change pads or tampons during the night. Menstrual flow with blood clots larger than a quarter.

Where do fibroids grow?

Uterine fibroids : Noncancerous tumors made up of muscle tissue can grow in the walls of the uterus, the lining inside the uterus (endometrial cavity), or on the outside of the uterus. Uterine polyps : Overgrowth of endometrial tissue can form growths called polyps inside the uterus.

What causes heavy bleeding during menstruation?

Cancer : Cervical cancer and uterine cancer can cause heavy menstrual bleeding. Endometriosis : Endometrial-like tissue grows on the outside of the uterus or on the ovaries, fallopian tubes, or other nearby organs. Medications : Certain anticoagulants (blood thinners), anti-inflammatory medications, or hormonal medications can lead ...

How long does it take for a period to stop?

Throbbing or cramping pain in the lower abdomen that can be intense. Lower back pain during menses. Patients should see their doctors if: Their periods stop for more than 60 days.

What is the pelvic exam?

During the pelvic exam, your doctor will check for abnormalities in your reproductive organs and look for signs of infection. If your doctor suspects that a disorder is causing your menstrual cramps, he or she may recommend other tests, such as: Ultrasound. This test uses sound waves to create an image of your uterus, cervix, ...

How to help cramps during menstruation?

Treatment. To ease your menstrual cramps, your doctor might recommend: Pain relievers. Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), at regular doses starting the day before you expect your period to begin can help control the pain of cramps. Prescription nonsteroidal anti-inflammatory ...

Does acupuncture help with menstrual cramps?

Some studies have found that acupuncture helps relieve menstrual cramps. Transcutaneous electrical nerve stimulation (TENS). A TENS device connects to the skin using adhesive patches with electrodes in them. The electrodes deliver a varying level of electric current to stimulate nerves.

What is a CT scan?

Other imaging tests. A CT scan or MRI scan provides more detail than an ultrasound and can help your doctor diagnose underlying conditions. CT combines X-ray images taken from many angles to produce cross-sectional images of bones, ...

How to get rid of cramps in lower abdomen?

Use heat. Soaking in a hot bath or using a heating pad, hot water bottle or heat patch on your lower abdomen might ease menstrual cramps. Try dietary supplements.

Is Tens better than placebo?

In studies, TENS was more effective than a placebo in relieving menstrual cramp pain . Herbal medicine. Some herbal products, such as pycnogenol, fennel or combination products, might provide some relief from menstrual cramps. Acupressure.

What is the difference between MRI and CT?

CT combines X-ray images taken from many angles to produce cross-sectional images of bones, organs and other soft tissues inside your body. MRI uses radio waves and a powerful magnetic field to produce detailed images of internal structures. Both tests are noninvasive and painless. Laparoscopy.

How to relieve pain from a swollen abdomen?

Applying heat. Applying heat to your abdomen and lower back may relieve pain. A 2012 study focused on 147 women 18 to 30 years old who had regular menstrual cycles found that a heat patch at 104°F (40°C) was as effective as ibuprofen.

Can essential oils be used in aromatherapy?

Adding essential oils for an aromatherapy style of massage may have additional benefits. A 2012 study divided 48 women experiencing menstrual pain into two groups: One group received a cream containing essential oils, while the other received a cream containing a synthetic fragrance.

How to get rid of cramps during period?

ginger. Try grating a small piece of ginger into hot water for a warm cramp-relieving drink.

Does OTC pain medication work?

OTC medication doesn’t work. For severe cases, the best way to get treatment is for a doctor to diagnose the cause of your menstrual pain. If you’re interested in learning more ways to relieve painful menstruation, check out this article on pain relief.

How to reduce pain during menstruation?

Yoga is a gentle exercise that also releases endorphins and helps prevent or reduce menstrual symptoms. In one 2011 study, researchers found three different yoga poses — Cobra, Cat, and Fish — significantly reduced intensity and duration of pain during menstruation for young women ages 18 to 22.

What happens during your period?

During your period, the muscles of your womb contract and relax to help shed built-up lining. Sometimes you’ll experience cramps, which are your muscles at work. Some women and girls may experience nausea, vomiting, headaches, or diarrhea as well.

Does curcumin help with PMS?

Relief for premenstrual syndrome symptoms. Curcumin, a natural chemical in turmeric, may help with symptoms of premenstrual syndrome (PMS). One 2015 study looked at 70 women who took two capsules of curcumin for seven days before their period and three days after. Participants reported significant reduction in PMS.

Why do we need iron?

Your body needs iron to produce hemoglobin, a molecule that helps red blood cells carry oxygen. Very heavy periods can deplete your body of iron and lead to iron deficiency anemia. Signs of anemia include: To get more of this nutrient, eat foods high in iron like:

What to do if your period is so heavy?

If your period is so heavy that you quickly soak through pads or tampons — or have to double up on different types of protection — there are things you can do to find relief. You may be able to ease your symptoms and get your cycle back on track just by making a few tweaks to your diet.

How to keep blood volume up when bleeding?

Hydrate. If you bleed heavily for a few days, your blood volume could get too low. Drinking 4 to 6 extra cups of water each day can help to maintain your blood volume. Drink an electrolyte solution like Gatorade or add more salt to your diet to balance out the extra fluid you’re drinking.

Can you get pregnant after a laser?

Afterward, your periods will be light to nonexistent, and you won’t be able to get pregnant.

Why are menstrual cups reusable?

And because menstrual cups are reusable, they’re better for the environment than disposable sanitary products. Wear period panties. These absorbent undergarments are designed to back up tampons and pads for preventing leaks.

What foods help with anemia?

You’ll find it in citrus fruits like oranges and grapefruits. Vitamin C is also in: red and green peppers. kiwis. strawberries. Brussels sprouts. broccoli.

How to get more iron in your diet?

Another way to increase your iron intake is by cooking in a cast-iron skillet. Foods with a lot of moisture — like spaghetti sauce — absorb the most iron. Stirring the pot often will pull even more iron into your food. Just be careful not to overdo it.

Why does my period hurt?

Some people are just at a higher risk of having painful periods. A hormone called prostaglandin triggers muscle contractions in your uterus that expel the lining. These contractions can cause pain and inflammation. The level of prostaglandin rises right before menstruation begins.

What is it called when you miss work?

Excessive pain that causes you to miss work or school is not. Painful menstruation is also called dysmenorrhea. There are two types of dysmenorrhea: primary and secondary.

Can a hysterectomy remove uterus?

This is an option if other treatments haven’t been successful. The surgery removes any endometriosis implants, uterine fibroids, or cysts. In rare cases, a hysterecto my (the surgical removal of the uterus) is an option if other treatments haven’t worked and pain is severe.

Why does my period feel heavier?

It can also cause longer or heavier periods. Cervical stenosis. Cervical stenosis is a rare condition in which the cervix is so small or narrow that it slows menstrual flow, causing an increase of pressure inside the uterus that causes pain.

What is it called when you have a painful period?

Painful menstruation is also called dysmenorrhea. There are two types of dysmenorrhea : primary and secondary. Primary dysmenorrhea occurs in people who experience pain before and during menstruation. If you’ve had normal periods that become painful later in life, it may be secondary dysmenorrhea.

What hormone causes pain in the uterus?

never having had a baby. reaching puberty before age 11. A hormone called prostaglandin triggers muscle contractions in your uterus that expel the lining. These contractions can cause pain and inflammation. The level of prostaglandin rises right before menstruation begins.

What are the symptoms of pelvic pain?

passing blood clots. cramping accompanied by diarrhea and nausea. pelvic pain when not menstruating. Sudden cramping or pelvic pain could be signs of infection. An untreated infection can cause scar tissue that damages the pelvic organs and may lead to infertility.

What hormones cause heavy periods?

Hormone Treatment for Heavy Periods. In a normal menstrual cycle, progesterone and estrogen fluctuate in specific proportions to drive reproductive processes, including regulating the build-up of the endometrium—the lining of the uterus. This shedding of this lining is the cause of menstrual bleeding.

Can hormones help with periods?

Hormone Treatment for Heavy Periods Can Bring Lasting Relief. Every woman remembers her first period. It’s a key event in life and a turning point. But unlike most dramatic, life-changing events, this isn’t a one-off moment: it’s a starting point. For most women, a period is a regular event, happening about once a month, ...

What is the best treatment for hormonal imbalance?

For women with hormonal imbalances, a better solution may be hormone replacement therapy ( HRT). By supplementing your body’s natural hormone levels, you can balance your hormones reliably, without intense highs or lows. HRT is also frequently used to treat symptoms of perimenopause, one of which is heavy bleeding.

What does it mean when a woman has a heavy period?

Every woman sometimes has periods that are heavier than other times. Medically speaking, however, the term “heavy periods” refers to those that are consistently longer-lasting and generally include heavier bleeding. Some of the primary signs of a diagnosable heavy period include:

How often do women have periods?

For most women, a period is a regular event, happening about once a month, signifying her hormonal cycle. But while periods are, in theory, regular, we all know that they can be interrupted and altered. They aren’t always consistent.

Can heavy periods cause bleeding?

There are times, however, when you may start regularly suffering from heavy periods, of longer duration and/or heavier bleeding. This can be uncomfortable, painful, socially isolating, and potentially with a long-term health impact. The medical term for this is “menorrhagia”. But most people just say “heavy periods”.

What is HRT used for?

HRT is also frequently used to treat symptoms of perimenopause, one of which is heavy bleeding. If you are suffering from a heavy period and other signs and symptoms of perimenopause, HRT might be a way to alleviate multiple issues with the same treatment.

Why does my period hurt?

Having extremely painful periods is a sign of an underlying imbalance that can have far-reaching implications for your overall health, not just your reproductive health. Keep reading to find out what causes period pain and what you can do to stop it.

What herbs help with cramps?

Herbs like fennel, fenugreek, and cinnamon have well-document benefits for menstrual cramps. One study found that cinnamon works almost as well as ibuprofen for menstrual pain! Ginger is another great anti-inflammatory that works very well for painful periods .

When does ovulation occur?

Ovulation is the release of an egg from the ovary. It typically happens on day 14 of the menstrual cycle. Ovulation is important when it comes to period pain because that is where you get your progesterone.

Can you feel your period coming?

A little bit of mild cramping can be considered “normal,” especially at the beginning of your period. But ideally, you won’t even feel your period coming at all.

Is it normal to have a period?

That type of period pain is not normal. In medicine, painful periods are called dysmenorrhea. Your period is like a barometer of your overall health. It tells you how well your body is being nourished (or not), how much stress you’ve been under, and how much inflammation might be going on in your body. It’s important to uncover the root causes of ...

Does estrogen cause periods?

As shown in the diagram above, estrogen increases PGE2 (the pain molecule) by stimulating the COX-2 enzyme. Having too much estrogen will also cause heavy periods, sore breasts, bloating, moodiness, and pretty much all of the things that we hate about periods in the first place!

Does insulin cause menstrual pain?

Remember that insulin increases arachidonic acid, the precursor to the inflammatory prostaglandins that cause menstrual pain. Insulin also promotes clotting and can interfere with ovulation.

What is the cause of PMS?

Also known as premenstrual syndrome, PMS affects 90 percent of menstruating women. PMS starts a few days before your period begins and continues into the first day or two of menstruation. Doctors think PMS is caused by estrogen and progesterone levels dipping before the beginning of each period. PMS has many symptoms including fatigue, irritability and menstrual cramps.

How to relax muscles?

A little heat can help your muscles relax, improve blood flow and relieve tension. Try sitting with a heating pad, taking a hot shower or relaxing in a hot bath.

Can fibroids be seen with the naked eye?

Uterine fibroids are benign growths that may develop in the uterine lining. They can be so small that it’s impossible to see them with the naked eye, or big enough to change the shape of your uterus. They usually appear during childbearing years and often shrink or go away completely after menopause.

What causes cysts in the ovaries?

Many women develop at least one small cyst every month that naturally fades. However, some women have multiple or large ovarian cysts which can cause pain or complications. In these cases, medical treatment might be needed to manage the cysts. Ovarian cysts can also be caused by polycystic ovary syndrome (PCOS). This is a condition where a hormone imbalance causes many small, harmless cysts to grow in the ovaries. This can cause painful periods, difficulty getting pregnant, insulin resistance and other health concerns. Symptoms of PCOS include irregular periods, excess hair on the face and body, weight gain, difficulty losing weight, acne and thinning hair on the head. A doctor can prescribe treatments that help manage PCOS symptoms.

How to stop cramps from getting worse?

Stress may make cramps worse. Use stress relief techniques like meditation, deep breathing, yoga or your own favorite way to relieve stress. If you’re not sure how to relieve stress, try guided imagery. Simply close your eyes, take a deep breath and imagine a calm, safe place that’s significant to you. Stay focused on this space for at least a few minutes while you take slow, deep breaths.

Can endometriosis cause cramps?

The endometrium can affect the entire uterus muscle, but it usually affects one spot. Adenomy osis is a benign condition, but it can cause severe cramps. Doctors aren’t sure exactly what causes adenomyosis, but women who’ve had children or undergone uterine surgery have a higher risk of developing it.

What is it called when the ovaries are infected?

When the uterus and ovaries become infected, this is called pelvic inflammatory disease (PID). The infection usually begins when bacteria from a sexually transmitted infection (STI) makes its way to the reproductive organs. PID can also occur following a surgical procedure. While many women experience no symptoms of PID, for some it can cause painful cramps.

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Diagnosis

Treatment

See a doctor if you notice:
  • Persistent bleeding
  • Other symptoms such as abdominal or pelvic pain, or a fever
  • Bleeding during or after sex
  • Bleeding heavily with cramping

See a doctor immediately if you notice:
  • Severe or excessively heavy bleeding
  • Lightheadedness
  • Heavy bleeding with cramping

Lifestyle and Home Remedies

Alternative Medicine

Preparing For Your Appointment

  • Specific treatment for menorrhagia is based on a number of factors, including: 1. Your overall health and medical history 2. The cause and severity of the condition 3. Your tolerance for specific medications, procedures or therapies 4. The likelihood that your periods will become less heavy soon 5. Your future childbearing plans 6. Effects of the c...
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