6 mins read

Seeking Relief: Effective Strategies for Managing Heavy Periods in Perimenopause


medically reviewed by Dr Naveen Chandran

Dr. Bhavya

Updated on October 25, 2023

Menopause, the transformative phase marking the conclusion of a woman's reproductive years, is a natural biological process that typically occurs between the ages of 45 and 55. This stage involves notable hormonal changes, particularly a decrease in estrogen and progesterone levels, which can significantly affect the menstrual cycle, leading to various modifications and challenges.

Heavy periods are a common issue experienced by numerous women during menopause.

Did you know that the decline in estrogen can disrupt the normal shedding of the uterine lining, leading to irregular and prolonged bleeding? Yes, and this heavy menstrual flow can be accompanied by intense cramping and discomfort, affecting women's daily lives and overall well-being.

Managing heavy periods during menopause is crucial to alleviate physical symptoms and maintain emotional and mental balance, promoting a better quality of life while getting through the period of change with ease and grace.

Jump to section

Do You Suffer From Heavy Periods? How to Identify the Symptoms?

When it comes to heavy periods during menopause, identifying the symptoms becomes essential for understanding and managing this challenging phase.

  • One common sign is irregular menstrual cycles, where the once predictable pattern becomes irregular and complex to anticipate when the next period will occur.
  • Prolonged bleeding is another indicator, with periods lasting longer than usual, sometimes more than a week. 
  • Women may also notice increased flow, making their periods heavier and more cumbersome to manage. 
  • Accompanying symptoms such as the presence of clots, fatigue, mood swings, and even physical discomfort. 

Recognising and acknowledging these symptoms empowers women to seek appropriate support and take proactive steps in managing heavy periods during menopause, ultimately improving their overall well-being.

Seeking Medical Help: From Frustration to Freedom

Why is it essential to consult a healthcare provider?

When dealing with heavy periods during menopause, seeking professional help is crucial for effective management.

  • Prioritise consulting a healthcare provider for guidance and support.
  • Schedule regular check-ups and maintain open communication.
  • Share symptoms, concerns, and provide a detailed medical history.
  • Healthcare providers may recommend tests and examinations to identify underlying causes.
  • Active engagement with healthcare professionals allows for accurate diagnosis and personalised treatment plans.
  • Take steps to regain control over menstrual health and overall well-being.

Managing Perimenopausal Bleeding: What are the Treatment Options Available?

When managing heavy periods during menopause, several conventional treatment options are available to alleviate the symptoms and improve the overall quality of life.

  • Hormone replacement therapy (HRT): A commonly prescribed treatment that involves replacing the declining levels of estrogen and progesterone with synthetic hormones. This can help regulate the menstrual cycle and reduce the heaviness of periods.
  •  Non-hormonal medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or tranexamic acid may also be recommended to manage excessive bleeding and clotting.
  • In more severe cases, surgical interventions might be considered when other treatments haven't provided satisfactory results. 
  • Procedures like endometrial ablation, which removes the uterine lining, or a hysterectomy, which removes the uterus, may be performed to address the heavy bleeding permanently.

Consulting a registered doctor is crucial to discuss treatment options and determine the most suitable approach based on individual circumstances. This ensures women can find relief and regain control over their menstrual health.

Managing Heavy Bleeding During Perimenopause Through Lifestyle Modifications: How and Why!

Managing Heavy Bleeding During Perimenopause Through Lifestyle Modifications (2).png

Making lifestyle changes can play a significant role in managing heavy periods during menopause, complementing medical treatments, and improving overall well-being.

Balancing your diet

  • A balanced iron-rich diet is crucial, as heavy bleeding can lead to iron deficiency anaemia.
  • Including iron-rich foods like leafy greens, legumes, and lean meats can help replenish iron stores.
  • Adding anti-inflammatory foods such as fruits, vegetables, and fatty fish can reduce inflammation and ease menstrual discomfort. 
  • Avoiding trigger foods like caffeine and alcohol is good, as these can exacerbate symptoms.

Sweat it out!

Regular exercise offers numerous benefits, including hormonal regulation and improved blood circulation. Engaging in low-impact activities like walking, swimming, or yoga can help manage symptoms and reduce the severity of heavy periods.

Deactivate your stress

Practising stress management techniques is vital as stress can disrupt hormone balance and worsen menstrual symptoms. Relaxation techniques like meditation, deep breathing, and yoga can reduce stress levels and promote overall well-being.

Keeping up the healthy weight

Maintaining a healthy weight is essential during menopause, as excess weight can disrupt hormonal balance and contribute to heavy periods. Adopting a healthy diet and regular physical activity can help manage weight effectively, potentially reducing the severity of severe bleeding.

It's essential to consult with a healthcare provider for personalised advice and guidance on lifestyle changes. These lifestyle modifications, in combination with medical treatments, can help women navigate the challenges of heavy periods during menopause, improving their menstrual health and overall quality of life.

Unleashing Nature's Secrets: Herbal Remedies and Traditional Practices for Managing Heavy Periods during Menopause

Alternative and complementary approaches can support managing heavy periods during menopause.

  • Herbal remedies such as chaste berries and black cohosh are popular herbs for their potential benefits in regulating menstrual cycles. They have been used for centuries to address menstrual problems.

NOTE: It is essential to consult with an Ayurveda expert before incorporating herbal remedies into your routine, as they can interact with medications or have contraindications for specific conditions.

  • Acupuncture, a key component of Traditional Chinese Medicine (TCM), involves the insertion of fine needles into specific points on the body that may help regulate hormonal imbalances, improve blood circulation, and reduce pain and inflammation associated with heavy periods.

Traditional Chinese herbs, such as Dong Quai and Dang Gui, are commonly used in TCM to support menstrual health and manage heavy bleeding. 

NOTE: Consulting with a qualified acupuncturist or TCM practitioner can provide personalised guidance and treatments tailored to individual needs.

Is adapting alternative and complementary approaches to replace conventional medical treatments entirely safe?

While it can be beneficial, it's crucial to approach them as adjunct therapies and not as replacements for conventional medical treatments. 

By integrating alternative and complementary approaches under healthcare professionals' guidance, women can explore additional avenues of support for managing heavy periods during menopause, potentially enhancing their overall menstrual health and well-being.

Practical Strategies and Self-Care Techniques for Managing Heavy Periods During Menopause

Practical Strategies and Self-Care Techniques for Managing Heavy Periods during Menopause (3).png

Coping with heavy periods during menopause requires practical strategies and self-care practices to navigate this challenging phase with confidence and resilience. 

  • Tracking menstrual cycles and symptoms helps anticipate heavy periods and manage schedules effectively. Carrying extra pads or tampons ensures preparedness and avoids discomfort.
  • Exploring different menstrual products suitable for heavy flow, such as high-absorbency pads, can provide greater comfort.
  • Joining support groups or seeking counselling allows women to connect with others experiencing similar challenges, share experiences, and gain valuable insights and coping strategies. These platforms offer a safe space to discuss concerns, ask questions, and receive support from a community of understanding individuals. 

Join the Nirva community of women to share and care!

A Note to Self

Practising self-compassion and prioritising self-care routines is vital during this time. Engaging in activities that promote relaxation, such as:

  • Taking warm baths
  • Practising mindfulness or meditation
  • Engaging in hobbies or activities can help alleviate stress and improve overall well-being. 
  • Take breaks when necessary, and prioritise self-care to maintain physical and emotional balance.

By implementing practical tips for managing heavy periods and embracing emotional support and self-care practices, women can navigate this phase of menopause with resilience, compassion, and a focus on their overall well-being.

In Other Words

Taking proactive steps to manage heavy periods during menopause is crucial for overall well-being. Seek professional help from healthcare providers for accurate diagnosis and appropriate treatments. Adopt a balanced diet, exercise regularly, manage stress, and maintain a healthy weight to alleviate symptoms. Prioritise self-care and seek support from healthcare providers and support groups for solace and valuable insights. You don't have to face heavy periods alone – make positive changes, regain control, and embrace this transitional period gracefully and effortlessly.

It’s time to boost up your knowledge by taking a simple quiz

Book WorkshopP

Frequently Asked Questions