heavy menstrual bleeding

Some women experience such heavy bleeding during their periods that they have difficulty going about their usual daily activities. Women over 40 are at increased risk for such bleeding. We understand how extremely uncomfortable and inconvenient this can be, but there are options for treatment.

If you experience any of the below symptoms*, please call our office at 305-981-0231 to schedule a personal consultation with Dr. Levin.

  • Menstrual flow that soaks through one or more sanitary pads or tampons every hour for several consecutive hours
  • The need to use double sanitary protection to control your menstrual flow
  • The need to change sanitary protection during the night
  • Menstrual periods lasting longer than seven days
  • Menstrual flow that includes large blood clots
  • Heavy menstrual flow that interferes with your regular lifestyle
  • Tiredness, fatigue or shortness of breath (symptoms of anemia)

* Click here to read more about heavy menstrual periods from the Mayo Clinic

Treatment Options

There are several treatment options for heavy menstrual bleeding, including personalized bio-identical hormone replacement therapy, IUD, curettage, endometrial ablation and major surgery (e.g. hysterectomy, myomectomy). Dr. Levin will explain all treatment options in detail, including which are the best for your individual needs and the risks involved.

Endometrial Ablation

Endometrial ablation is a highly-effective, less invasive, in-office procedure to lighten or stop your periods without the side effects of hormones or the risks of a hysterectomy. For 90 percent of women, menstrual bleeding is dramatically reduced or stopped. There are no incisions, no need for general anesthesia and most women experience little or no pain and return to their regular activities the same day.

During the procedure, your physician removes the endometrium, or the lining of the uterus, which causes the bleeding. No devices remain inside your body after the procedure.


Endometrial ablation can do more than just dramatically reduce or stop heavy bleeding. Many women who have had the procedure say they are now able to go about their daily activities, function better at work and participate in more social and athletic outings. They also reported improved energy levels, better moods and a boost in self-confidence. And many also had a significant reduction in painful periods and PMS symptoms like irritability.

Is endometrial ablation right for me?

Not all women are candidates for endometrial ablation. Endometrial ablation is for premenopausal women with heavy periods due to benign causes who are finished childbearing. Pregnancy following this procedure can be dangerous. 


Endometrial ablation is usually covered by the cost of a copay, but we encourage you to call your insurance provider to confirm your individual benefits. Self-pay patients may call our office at 305-981-0231 to confirm the price of the procedure.

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