Cycle Disorders

Hormonal Contraceptives and Menorrhagia Treatment

May 27, 2018

What is Menorrhagia?

Menorrhagia is the medical term for heavy menstrual bleeding. If left untreated, menorrhagia can result in iron deficiency anemia. It’s estimated that about 10% of women of reproductive age will experience heavy bleeding — but only about 30% of women will seek out menorrhagia treatment.

Can Hormonal Contraceptives Be Part of a Menorrhagia Treatment Program?

Hormonal contraceptives (like the tablet ) help to lower general bleeding episodes.

As a result of this, hormonal contraception might be especially helpful as part of menorrhagia treatment. Plus, these birth control techniques are a reversible and also have less serious side effects than other treatment options. The alternative menorrhagia treatment is a surgical procedure called endometrial ablation. This process contributes to sterilization.

You may have chosen to use hormonal birth control methods because it is effective and easy of use. But did you know about the non-contraceptive benefits of hormonal contraception? Among those benefits is that hormonal contraceptives can be a part of a menorrhagia treatment program.

Which Hormonal Contraceptives Could Be Part of My Menorrhagia Therapy?

Listed below are a list of specific prescription birth control methods that have been proven to be helpful in providing some help for menorrhagia. These may be great treatment choices if You Would like to get pregnant later on:

  • Combined Hormonal Contraceptives: These birth control methods contain both a progestin and synthetic estrogen. Combination birth control can reduce heavy menstrual bleeding for a lot of women. So it’s a reasonable option to initially try as part of your menorrhagia treatment. 
  • Combination Birth Control Pills: were you aware your daily blood loss (that happens during your period) could be reduced from 40 to 50% if you utilize mix birth control pills? Studies have also proven that triphasic combination pills (birth control pills that have varying levels of estrogen and progestin — to more closely mimic the hormonal phases during your menstrual cycle) are particularly successful at reducing the menstrual blood loss associated with menorrhagia.
  • Extended Cycle Birth Control Pills: Continuous birth control pills (like Amethyst, Yaz, Beyaz, Seasonique, and Lo Loestrin Fe) also help to reduce your overall bleeding episodes. These extended cycle pills can be particularly helpful in the management of menorrhagia. You can also use regular birth control pills to skip your time — this can also supply you some relief.
  • Progestin-Only Contraceptives: These hormonal imbalances are a good alternative if you would like to use hormonal birth control, but you can’t use a method that has estrogen. Progestin-only birth control options can help decrease your bleeding days during your monthly period. Some of these methods may actually let you not have a period in any way. As a result of this, progestin-only contraception might be a possible part of your menorrhagia therapy program.
  • Mirena IUD: The Mirena IUD is also a progestin-only method. For women with menorrhagia, study indicates that Mirena lowers menstrual blood glucose and enhances quality of life as well as endometrial ablation — but Mirena has significantly less serious side effects. It is possible to have up to an 86% reduction in blood loss after just 3 months of using Mirena and up to 97 percent after 12 months. 

    In contrast to women using progestin-only pills (with the progestin norethindrone), women using the Mirena IUD for menorrhagia therapy seem to be satisfied and prepared to continue with this as their menorrhagia treatment. Mirena may actually be a better treatment option than those birth control pills. So much so that today Mirena is FDA-approved to assist treat heavy periods.

    Just a Quick Disclaimer About Using Hormonal Contraception as a Portion of Your Menorrhagia Treatment Plan:

    Keep in mind that each woman may have different reactions to specific birth control methods. Therefore, even though hormonal birth control can be a helpful part of menorrhagia therapy, this advice is supposed to be a general summary. The most important reason to use hormonal birth control is for contraception (to prevent an accidental pregnancy) — however if you suffer from menorrhagia, speak with your physician about a few of the possible non-contraceptive benefits. It will not hurt to factor in a number of these possible benefits when deciding about which hormonal imbalance you will ultimately use.