![]() ![]() ![]() You may need surgical treatment for menorrhagia if medical therapy is unsuccessful. Next, your provider inserts a long, thin instrument (curette) through your cervix into your uterus and carefully removes the tissue lining the inside of the uterus. Then your provider inserts a series of rods (dilators) of increasing thickness to open (dilate) your cervix and allow access to your uterus. Proceduresĭuring a dilation and curettage procedure (D&C), your provider uses a vaginal speculum to hold the walls of the vagina apart. If your iron levels are low but you're not yet anemic, you may be started on iron supplements rather than waiting until you become anemic. If you also have anemia due to your menorrhagia, your doctor may recommend that you take iron supplements regularly. If you have menorrhagia from taking hormone medication, you and your doctor may be able to treat the condition by changing or stopping your medication. This intrauterine device releases a type of progestin called levonorgestrel, which makes the uterine lining thin and decreases menstrual blood flow and cramping. The hormone progesterone can help correct hormone imbalance and reduce menorrhagia. Aside from providing birth control, oral contraceptives can help regulate menstrual cycles and reduce episodes of excessive or prolonged menstrual bleeding. Tranexamic acid (Lysteda) helps reduce menstrual blood loss and only needs to be taken at the time of the bleeding. ![]() NSAIDs have the added benefit of relieving painful menstrual cramps (dysmenorrhea). NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), help reduce menstrual blood loss.
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