How is heavy menstrual bleeding treated?
Treatment is different for each young woman, but there are some common options.
- Anemia: If anemia (low hemoglobin) or low iron stores (ferritin) is found, the doctor will recommend you start taking an iron supplement and continue until your anemia and iron stores have returned to normal.
- Hormone imbalance: Treatment with hormonal medicine helps to stabilize the lining of the uterus. Birth control pills, the patch or vaginal ring may be recommended, not for the purpose of birth control, but to provide the hormones your body needs to stabilize the lining of the uterus. Hormonal medicine can include:
- Oral progesterone (usually norethindrone acetate)
- A combination of birth control pills and norethindrone acetate
- A progesterone-containing intrauterine device (IUD)
- A progesterone-containing implant
- Depo-Provera injection
- Bleeding disorders: For girls with diagnosed bleeding disorders, we will work closely with our hematologist to ensure that the most effective treatments are offered.
In cases of very heavy bleeding, the doctor may offer treatment with tranexamic acid (a non-hormonal alternative medicine). The doctor may also recommend ibuprofen to help relieve cramps and decrease the amount of bleeding.
Why choose Children's Colorado for your daughter's heavy or abnormal menstrual bleeding?
Our board-certified pediatric and adolescent gynecologists have specialized training in the reproductive health concerns of girls of all ages. We understand the complex changes that occur during puberty. We can recognize both common and rare causes of heavy menstrual bleeding in girls, teens and young women.
We will put both you and your daughter at ease by carefully explaining her medical condition and then discussing the various options for treatment. We will support your family with follow-up appointments and/or consultation with your primary care doctor as needed.