Content

• Steps
• Method 1 of 3: Using birth control
• Method 2 of 3: Using Medication
• Method 3 of 3: Method Surgical techniques
• Tips

Most women lose 35-40 ml of blood during menstruation in 4-8 days. Some people lose more blood every day for a longer period of time, which is called menorrhagia (heavy, prolonged menstruation). With heavy and prolonged bleeding during menstruation, women are also susceptible to a concomitant medical problem - anemia. Fortunately, there are ways you can reduce heavy and prolonged menstrual bleeding.

Steps

Method 1 of 3: Using birth control

1. 1 Understand how birth control can affect long periods. These are artificial remedies commonly used to prevent pregnancy, but they can also reduce bleeding. These remedies also help to reduce the severity of cramps and pain associated with menstruation.
   • The menstrual cycle is controlled by various female hormones, including progesterone and estrogen. Birth control medications affect the amount of these hormones in the body and thus affect the amount of blood flow during your period.
   • There are different types of birth control products, including hormonal patches, pills, and vaginal rings. They are usually used for three weeks and then taken off for one week. However, some of them can be used for a whole month.
2. 2 Install the intrauterine device. This hormonal device is inserted into the uterus to prevent pregnancy and reduce menstrual bleeding. The coil releases a progestin into the uterus, which helps to reduce the profuse bleeding. The procedure for installing the spiral is done by a gynecologist in a polyclinic. The spiral lasts 6 months or more. Spirals can be of two types:
   • Copper spiral. This spiral has a base wrapped in copper wire. The released copper creates irritation, which causes inflammation, which serves as a contraceptive. Such a device can be used for no longer than 10 years.
   • Coil with levonorgestrel. This coil releases progestin and causes thick mucus to form in the cervix, which prevents egg implantation from occurring. Such a device can be used for up to 5 years.
3. 3 Consider placing an implant. It is a hormonal birth control that uses the hormone progestin, which is slowly released into the bloodstream.
   • The implant is small in size and resembles a matchstick. It is inserted under the skin at the top of the armpit. Implant placement should only be carried out by a suitably trained specialist. This is usually done with local anesthesia to relieve pain.
   • This method avoids unwanted pregnancies and reduces menstrual bleeding. It is suitable for women who do not plan to become pregnant within the next six months.
4. 4 Hormonal injections. They are usually done every three months. They help prevent pregnancy and reduce bleeding during menstruation.
   • Progesterone is injected intramuscularly into the shoulder or buttock.Progesterone is released into the bloodstream, which creates a hormonal imbalance that prevents the egg from implanting.
   • This method is only applicable to those women who are not planning a pregnancy in the next six months.

Method 2 of 3: Using Medication

1. 1 Take antifibrinolytic medication. These remedies act on heavy and long periods faster than most other methods. They can interfere with blood clotting, thereby reducing bleeding.
   • The start time of these funds is 2-3 hours after taking, and they can be used no longer than a few days. This method is preferable to the others, as it does not affect reproductive functions.
   • An example of an antifibrinolytic agent is tranexam, which is used at a dosage of 500 mg 3 times a day. This medication should not be combined with other birth control medications unless directed by your doctor.
2. 2 Get non-steroidal anti-inflammatory drugs. They can help reduce the cramps experienced with menstrual bleeding.
   • These drugs decrease the production of prostaglandin, a pain-controlling hormone. With a reduction in prostaglandin, menstrual pain decreases. They also help reduce bleeding.
   • Non-steroidal anti-inflammatory drugs are available without a prescription. The most popular of these is ibuprofen, which is taken as two tablets three times a day. These tablets are not that expensive and should only be used during your period.
3. 3 Use progestin pills. They are usually prescribed for women with irregular menstrual periods. In this case, the dosage is one tablet per day for 7-10 days with a repetition of the course every three months.
   • These pills prevent the walls of the uterus from thickening, which can be one of the reasons for excess bleeding.
   • Be aware that these pills do not prevent pregnancy.

Method 3 of 3: Method Surgical techniques

1. 1 Understand that there are situations where surgery is needed. Surgery is usually done when a woman has certain health problems that require intervention to stop bleeding. Common problems include abnormal growth of uterine tissue such as fibroids and polyps.
2. 2 Undergo a procedure to remove fibroids and polyps. Myomectomy can be used to remove fibroids. It is usually done under general anesthesia.
   • Alternatively, uterine artery embolization can be used when the blood vessels leading to the tumor are blocked. Polyps in the uterus can be removed with polypectomy. This procedure is recommended for severe bleeding and when the patient has fibroids in the uterus.
   • After surgery, the patient has a chance of smearing, which can last up to 8 weeks. At the same time, it is not recommended to use tampons, so as not to infect. The woman may also be advised to abstain from sexual intercourse until complete recovery.
3. 3 To remove the inner layer of the uterus, scraping is performed. When scraping, the endometrium in the uterus is removed.
   • This operation significantly reduces the abundance of menstrual flow, or can stop them. This is not a good option for those planning to have more children in the future.
   • Usually this procedure is done in a hospital, but in some cases it can be done in a hospital. After the operation, a woman may experience nausea, cramps, and bloody discharge.
   • These symptoms can last for 1-2 weeks. After the operation, in women, the abundance of menstruation decreases, and in some they stop completely.
4. 4 Understand the different methods of removing the endometrium. Various technologies can be used to remove the endometrial layer, which include:
   • Electrocute moxibustion... In this case, the endometrial layer is burned out by an electric current.
   • Hydrothermal therapy... This method is carried out by pumping a hot liquid into the uterus, which, with its high temperature, destroys the endometrial layer.
   • Balloon therapy... A catheter is attached to the fluid balloon and inserted into the uterus. The fluid heats up and destroys the endometrial layer.
5. 5 Consider a hysterectomy. This is a surgical procedure that removes the uterus and is performed exclusively in a hospital by a surgeon.
   • This surgery is usually performed on women who are in the menopause stage or who no longer wish to have children. Due to the complete removal of the uterus, menstruation no longer occurs, and there is also no possibility of getting pregnant.
   • Usually, after the operation, the patient must spend some time in the hospital under the supervision of doctors. After discharge, care should be taken not to lift heavy objects for several weeks until complete recovery from surgery.

Tips

• There are a number of symptoms of heavy and prolonged menstruation. These include:
  • Blotting the tampon every 1-3 hours.
  • Heavy bleeding for more than a week (7 days).
  • The need to use a tampon in conjunction with a pad due to the abundance of discharge.
  • The need to change the pad at night due to heavy bleeding.
  • The presence of clots larger than 2.5 cm.
• In case of heavy bleeding during prolonged menstruation, iron supplements should be taken to raise its level in the body.