Treating HMB 

Treating Heavy Menstrual Bleeding (HMB)

Heavy Menstrual Bleeding (HMB) is a highly treatable condition, and there are a wide range of treatment options available. Most healthcare professionals will recommend a medical therapy first, however, if your HMB worsens or is not effectively managed with these treatments, other more invasive options may need to be considered. In addition to the following treatment options for HMB, your doctor may also recommend you take regular iron supplements to help treat anaemia (iron deficiency) due to blood loss.

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If you are not considering getting pregnant, the following can be considered:

    An IUS is fitted once and stays inside the womb. It slowly releases a small amount of a hormone called progestogen, which provides reliable contraception and has been shown to reduce HMB by up to 95%.

     

    The fitting usually takes a few minutes and can be done at a local GP surgery or contraceptive clinic.

     

    The IUS lasts up to 5 years depending on the type chosen.

     

    Possible side effects of using IUS include:

     

    • Irregular bleeding/spotting that may last more than six months
    • Breast tenderness
    • Acne
    • Periods may stop completely or become significantly lighter

    Aside from providing birth control, oral contraceptives can help reduce episodes of excessive or prolonged menstrual bleeding. Certain (or some) types of the combined pill, often referred to as 'the pill', have been shown to reduce heavy bleeding and can have the added benefit of regulating the menstrual cycle and reducing period pain.

     

    Common side effects of the pill include:

     

    • Mood changes
    • Nausea
    • Fluid retention
    • Breast tenderness

    Oral norethisterone (man-made progesterone) can be used to treat heavy periods, and is taken daily in tablet form. It works by preventing your womb lining from growing quickly and can reduce heavy bleeding. Oral norethisterone is not suitable if you are trying to conceive as it is likely to stop ovulation. However, it is important you use some form of contraception (e.g. a condom) while taking norethisterone tablets, as it is not a contraceptive.

     

    Common side effects of oral norethisterone/progestogens include:

     

    • Weight gain
    • Short-term acne
    • Breast tenderness

     

    *It is not a contraceptive, and indeed, a barrier method of contraception needs to be used while taking it to avoid unwanted pregnancies.

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    If you are considering getting pregnant and would prefer a non-hormonal treatment, the following can be considered:

      NSAIDs work by reducing the body's production of a hormone-like substance called prostaglandin, which is linked to heavy periods. They can also help relieve period pain. NSAIDs are not a form of contraception and won't affect your chances of becoming pregnant.

       

      Gastrointestinal issues are the most common side effects seen with NSAIDs.

       

      It is not a contraceptive, and indeed, a barrier method of contraception needs to be used while taking it to avoid unwanted pregnancies.

      Tranexamic acid tablets work by helping the blood in the womb to clot, and have been shown to significantly decrease menstrual blood loss. Tranexamic acid tablets are not a form of contraception and won't affect your chances of becoming pregnant.

       

      Gastrointestinal issues are the most common side effects including:

       

      • Diarrhoea
      • Indigestion

       

      It is not a contraceptive, and indeed, a barrier method of contraception needs to be used while taking it to avoid unwanted pregnancies.

      Surgical treatment options for HMB. Know when surgical intervention may need to be considered

      Reporting of side effects and quality complaints

       

      If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard.

       

      You can also report side effects and quality complaints to Bayer Plc. Further information is available on the “contact” tab at www.bayer.co.uk.

       

      By reporting side effects you can help provide more information on the safety of this medicine.