For iron deficiency anemia due to heavy menstrual bleeding, what is your preferred method of controlling heavy menses?

Thanks for this important question. Too often, we see women in hematology clinics who have had terrible bleeding for years, and the menorrhagia has not been addressed, only the iron deficiency. From a hematology perspective, I make sure to do an ISTH bleeding score assessment to see if she needs to ...

I definitely loop in my GYN friends for this one! According to ACOG: "Heavy menstrual bleeding is defined as excessive menstrual blood loss that interferes with a woman's physical, social, emotional, or material quality of life." The consequences of HMB are substantial and multifaceted, and, as we f...