Use a hormonal method to delay bleeding (ask a clinician about options such as a progestin-only pill, combined pills, or a continuous regimen)
Consider starting hormonal treatment about 1–3 days before your expected period (timing depends on the method)
If you already started bleeding, ask about short-term hormonal options to reduce or stop it
Use NSAIDs (e.g., ibuprofen or naproxen) at the recommended label dose during bleeding to reduce flow
Consider tranexamic acid during heavy bleeding (requires a prescription in many places; ask a clinician)
Use a menstrual suppression method long-term if appropriate (e.g., certain hormonal IUDs, implant, or continuous combined pills)
If you have an IUD and bleeding is heavy or prolonged, contact a clinician to review whether it’s expected or needs adjustment
Seek urgent care if bleeding is extremely heavy (soaking a pad/tampon every hour for 2+ hours), you feel faint, have severe dizziness, or pass large clots
Seek urgent care if you might be pregnant (including possible ectopic pregnancy) or have severe one-sided pelvic pain
Seek prompt medical care if bleeding lasts more than 7 days, is unusually frequent, or recurs irregularly
Avoid aspirin for stopping bleeding (it can increase bleeding)
Do not use unprescribed or high-dose hormones without medical guidance
