Gynecology
Heavy perimenopausal bleeding: treatment options
Options: NSAIDs, tranexamic acid, Mirena IUD, progestogens, ablation, hysterectomy.
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.
Considering a physician-supervised longevity protocol? Kindr Health evaluates peptide therapy as part of personalized perimenopause and menopause care.
Request your Longevity Consult →Related: FDA peptide review July 2026 briefing · Peptide therapy hub · Longevity service
Medically reviewed by Kindr Health Clinical Team · Last reviewed 2026-06-19. Compounded medications are prepared by FDA-registered 503A pharmacies and are not FDA-approved drug products.