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Medical management options for heavy menstrual bleeding, as recommended by NICE, include: Levonorgestrel intrauterine system (LNG-IUS) : Often first-line treatment, reducing menstrual blood loss by up to 95% within 12 months Tranexamic acid : An antifibrinolytic agent taken during menstruation to reduce blood loss by 40-50% (caution if you have a history of blood clots) Non-steroidal anti-inflammatory drugs (NSAIDs) : Such as mefenamic acid, which can reduce flow by 20-30% and help with associated pain (use with caution if you have gastrointestinal, renal or cardiovascular conditions) Combined hormonal contraception : Can regulate cycles and reduce bleeding in suitable candidates Oral progestogens : Taken cyclically or continuously, depending on individual circumstances If you currently use a copper intrauterine device (IUD), this can contribute to heavier periods, and switching to a levonorgestrel IUS might be beneficial

"Keep a history of other meds you've taken so you can provide documentation for step therapy requirements," she says

For context: brand-name GLP-1 medications typically carry substantially higher list prices without insurance coverage, while compounded telehealth programs often advertise lower cash-pay pricing

Enhances energy, promotes muscle recovery, and supports better sleep

Gamified tracking transforms "I should exercise more" into "I walked 8,000 steps today and logged it." Small, measurable goals outperform ambitious plans abandoned by week three

Chang YK, Choi H, Jeong JY, Na KR, Lee KW, Lim BJ, et al