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ArticlesTopic 05
Leaks, heavy days, stains and surprises. A calm plan for every part of the month.
PeriodsQ&A
Von Willebrand disease is the most common bleeding disorder, and heavy periods are often its main sign in women. The CDC says women with heavy bleeding and no gynecologic cause found should be tested. It also matters before surgery and dental work.
PeriodsComparison
If heavy bleeding or fibroids lead to a hysterectomy, the way it's done affects recovery. A Cochrane review of 47 trials found vaginal hysterectomy got women back to normal activities fastest when it was possible, and found no added benefit from robotic surgery over standard laparoscopy.
PeriodsEvidence check
Over-the-counter anti-inflammatory pain relievers are sold for period cramps. Cochrane reviews found they can also reduce heavy bleeding somewhat, but less than other treatments, and the label warnings matter more after 50.
PeriodsWhat to expect
When iron pills don't work or upset your stomach, an iron infusion can refill your stores in one or a few visits. One common type now carries a boxed warning about low phosphate, and the bleeding still needs a plan.
PeriodsConversation script
Get prompt professional advice about your pill and any emergency contraception needs.
PeriodsMyth buster
Discuss contraception before your periods return, including if you are breastfeeding.
PeriodsChecklist
A progestin-only pill has been sold without a prescription since the FDA approved it in 2023. If you still need contraception in your 40s, here is what the label says about irregular bleeding, who should skip it and when to call a doctor.
PeriodsWhat to expect
If your periods have become heavy, longer or unpredictable, a pelvic ultrasound is often the first imaging test. Here is how the belly and vaginal scans work, how to prepare and what an ultrasound can and can't show.
PeriodsQ&A
Ask the provider about the exact kit you have rather than assuming you must postpone.
PeriodsQ&A
Check whether your test uses a control symbol before interpreting the result.
PeriodsChecklist
Confirm that the exact pump is designed for multiple users and ask about your own accessory kit.
PeriodsExplainer
Many women in their late 40s and early 50s start weight-loss injections while still needing birth control. Tirzepatide's label says it can make birth control pills less reliable, especially after the first dose and each dose increase. Here is what the label advises and why it matters before menopause is confirmed.
