IF menstruation is heavy or prolonged there is a risk of iron deficiency and anaemia. This can have knock on effects for your health and wellbeing, so it should be addressed. Periods often change after childbirth, but it doesn’t mean you have to tolerate this as the status quo.
Clotting problems are a rare cause of heavy menstrual periods. This is more likely if other bleeding issues are apparent such as frequent nosebleeds, bleeding gums or easy bruising. Clotting disorders can also run in families. Other causes could be, under active thyroid or polycystic ovarian syndrome. However, these can all be out ruled via simple blood tests performed by your GP.
A pelvic examination and ultrasound can help rule out abnormalities of the womb or ovaries. Ensure your smears are up-to-date. A reduced blood count warrants treatment with iron supplements.
For those who want to avoid hormonal contraception, medication such as mefenamic acid (an anti-inflammatory), combined with tranexamic acid may help. This should be taken regularly three times daily for the expected heavy days. This combination helps reduce menstrual flow and can improve symptoms.
If this doesn’t work the contraceptive pill can be used. I know this isn’t your preferred choice, but this can quite dramatically reduce menstrual flow and will help regulate menstrual bleeding. Those over the age of 35, smokers, women who have high blood pressure or high cardiovascular risk may not be prescribed the combined contraceptive pill, patch or vaginal ring.
If oestrogen isn’t an option then maybe consider a method, which uses progesterone only. Options here include a progesterone only