In this Hot Flash, we do a quick and dirty overview of one of the most serious perimenopausal symptoms - heavy menstrual flow.  We define what constitutes too much bleeding, when to be concerned and what to do about it. 

****IMPORTANT NOTE at about 8min and 10 seconds in  I mention not taking iron at higher     dose than 8 mg per day without monitoring - it sounds like I say 80mg but it’s 8(eight)!  Truly, any iron supplementation outside of food sources should be monitored with lab testing to ensure proper dosing and prevent complication

https://www.kindara.com/

https://helloclue.com/

Testing ferritin to evaluate iron stores:  https://medlineplus.gov/lab-tests/ferritin-blood-test/

Evidence for dosing iron every other day:  https://pubmed.ncbi.nlm.nih.gov/31413088/

Iron IVs for treating iron deficiency:  What to Know About Iron Infusions for Anemia Treatment - GoodRx

Dairy and heavy menses:  What Dairy Does to Periods • Lara Briden - The Period Revolutionary

Slow Flow:  https://vitanica.com/online-store/slow-flow-60-capsules/ (no affiliation)

Acupuncture case study:  Acupuncture treatment for dysfunctional uterine bleeding in an adolescent - PMC (nih.gov)

Ibuprofen for heavy menses:  Non-steroidal anti-inflammatory drugs for heavy menstrual bleeding - PubMed (nih.gov)

Tranexemic acid for heavy menses:Tranexemic Acid (Lysteda) for Cyclic Heavy Menstrual Bleeding - STEPS - American Family Physician (aafp.org)

Guidelines for progesterone therapy and a review oftreatment options for heavy mense from CeCor:  Very Heavy Menstrual Flow | The Centre for Menstrual Cycle and Ovulation Research (ubc.ca)

Hormonal IUD for treatment of heavy menses:  Reproductive Health Access Project | Contraceptive Pearl: Progestin IUD as Treatment for Menorrhagia - Reproductive Health Access Project (reproductiveaccess.org)

Oral Birth Control - new brands with bioidentical estrogens for management of perimenopasual heavy menses: Natazia: Official patient website or About NEXTSTELLIS | NEXTSTELLIS®(drospirenone and estetrol tablets) 

Uterine ablation:  Uterine Ablation as a Treatment for Severe Menorrhagia – Naturopathic Doctor News and Review (ndnr.com)

Myomectomy for fibroids:  Myomectomy – Fibroid Treatment Collaborative

Sex after hysterectomy:  Post Hysterectomy Sex: Your Guide To Sex After Hysterectomy (dofeve.org)

Health impact of hysterectomy and age of menopause: What We Know about the Long-Term Risks of Hysterectomy for Benign Indication—A Systematic Review - PMC (nih.gov)