Managing heavy periods around the time of school examinations
There are a number of options available to you and your doctor.
- Consider the Combined Oral Contraceptive. This medication can reduce the bleeding, help with the timing of when the period starts, and may also shorten the duration of the bleeding. It is an important option even for young girls who are not sexually active.
- Use the Mini Pill
- In women who have tried this option unsuccessfully, other options are available including the Mini Pill, also known as the Progesterone Only Pill. This is very effective and can be used for several months, well beyond the time of the examination or sporting event.
- Add Tranexamic Acid tablets. The above options can be combined with a tablet called Tranexamic Acid, used to reduce the amount of bleeding. This medication is taken up to 4 times a day, during the menstrual period.
- For young women who have already sexually active, the Mirena coil is an option that works very well, particularly for those women who desire contraception as well. This is a tiny device inserted inside the womb. It releases small amounts of hormone into the cavity of the womb, thereby thinning the lining. A thin endometrial lining leads to light periods and can also lead to no periods at all.
Going forward – by managing the menstrual problems correctly.
When you have anticipated and prepared for your menstrual cycles during school examinations, you will be advised to start the treatment program well ahead of the examinations. Doing so will allow for the body to get used to the medications and for the medication to work. Ideally, you want to start the oral contraceptive pill a month or two before the examinations.
Once the strategy of managing your heavy menstrual bleeding is in place, you can approach your examination with confidence, which is very important for success.