Treatments for menstrual irregularities often vary based on the type of irregularity and certain lifestyle factors, such as whether a woman is planning to get pregnant.
- Oral contraceptives
- Cyclic progestin
- Treatments for an underlying disorder that is causing the menstrual problem, such as counseling and nutritional therapy for an eating disorder
- Insertion of a hormone-releasing intrauterine device
- Use of various medications (such as those containing progestin or tranexamic acid) or nonsteroidal anti-inflammatory medications
If the cause is structural or if medical management is ineffective, then the following may be considered:
- Surgical removal of polyps or uterine fibroids
- Uterine artery embolization, a procedure to block blood flow to the uterus
- Endometrial ablation, a procedure to cauterize (remove or close off by burning) blood vessels in the endometrial lining of the uterus
Treatment for dysmenorrhea (painful periods) include:7
- Applying a heating pad to the abdomen
- Taking nonsteroidal anti-inflammatory medications
- Taking contraceptives, including injectable hormone therapy or birth control pills, using varied or less common treatment regimens
- ACOG Committee on Practice Bulletins—Gynecology, American College of Obstetricians and Gynecologists. (2013). Practice bulletin no. 136: Management of abnormal uterine bleeding associated with ovulatory dysfunction. Obstetrics and Gynecology, 122(1), 176–185. PMID: 23787936. Retrieved December 2, 2016, from https://www.guideline.gov/summaries/summary/47451
- Practice Committee of the American Society for Reproductive Medicine. (2008). Current evaluation of amenorrhea. Fertility and Sterility, 90, S219–S225.
- Apgar, B. S., Kaufman, A. H., George-Nwogu, U., & Kittendorf, A. (2007). Treatment of menorrhagia. American Family Physician, 75, 1813–1819.
- Lethaby, A., Irvine, G., & Cameron, I. (1998). Cyclical progestogens for heavy menstrual bleeding. Cochrane Database of Systematic Reviews, 4, CD001016.
- Lethaby, A. E., Cooke, I., & Rees, M. (2005). Progesterone/progestogen releasing intrauterine systems versus either placebo or any other medication for heavy menstrual bleeding. Cochrane Database of Systematic Reviews, 4, CD002126.
- Lethaby, A., Shepperd, S., Cooke, I., & Farquhar, C. (1999). Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding. Cochrane Database of Systematic Reviews, 2, CD000329.
- Proctor, M. L., & Farquhar, C. M. (2007). Dysmenorrhoea. Clinical Evidence, pii, 0813.