Gynecology
Heavy perimenopausal bleeding: treatment options
Options: NSAIDs, tranexamic acid, Mirena IUD, progestogens, ablation, hysterectomy.
Written by the Kindr Health Editorial & Clinical TeamMedically reviewed by Kindr Health Clinical Team NPI 1609792902Published Last reviewed
Key points
- Start medical
- Mirena excellent
- Reserve surgery
Frequently asked questions
First-line?
Tranexamic acid or Mirena IUD.
When to consider surgery?
Failed medical management or structural cause.
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Written and medically reviewed by the Kindr Health Clinical Team · Published 2026-06-19 · Last reviewed 2026-07-01. Compounded medications are prepared by FDA-registered 503A pharmacies and are not FDA-approved drug products.