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Women's Health Specialist

Heavy Periods Treatment: Find the Root Cause of Menorrhagia via Telehealth in Florida

Soaking through pads every hour? Dreading your period each month? Heavy bleeding isn't normal, and you don't have to accept it. Let's find out why it's happening.

At Thrive RX, we don't just manage your symptoms. We investigate the root cause of your heavy periods. Whether it's a hormonal imbalance, thyroid issue, or structural concern, our physician uses comprehensive testing to guide targeted treatment.

Medically Reviewed by Dr. Kiswani-Barley
Last updated: February 2026
Quick Answer

What Causes Heavy Periods and How Are They Treated?

Heavy menstrual bleeding (menorrhagia) affects approximately 1 in 5 women and can significantly impact quality of life (ACOG Practice Bulletin No. 557). The most common causes include hormonal imbalances (particularly estrogen dominance and progesterone deficiency), uterine fibroids, thyroid disorders, and PCOS.

Treatment depends on the underlying cause. Hormonal therapy (progesterone supplementation or combined hormonal contraceptives) is often first-line for hormonally-driven heavy bleeding. Tranexamic acid can reduce menstrual blood loss by up to 50%. Iron supplementation addresses associated anemia.

At Thrive RX, our physician provides root-cause evaluation for heavy periods via telehealth throughout Florida, including comprehensive hormone panels, thyroid testing, and iron studies. Consultations start at $250 for initial evaluation, $200 for follow-ups.

Vandhana Kiswani-Barley, MD

Triple Board-Certified + FACHE · 15+ Years Experience

Family Medicine
Obesity Medicine
Pain Management
FDA-Approved Medications Only
Same Doctor Every Visit
Telehealth in FL
Transparent Pay-Per-Service Pricing

Signs Your Periods May Be Abnormally Heavy

Many women aren't sure if their bleeding is "too heavy." These signs suggest it's time to get evaluated by a physician.

Soaking through protection hourly

Needing to change pads or tampons every 1-2 hours

Periods lasting more than 7 days

Prolonged bleeding beyond normal duration

Passing large blood clots

Clots larger than a quarter during menstruation

Fatigue and low energy

Exhaustion that may indicate iron-deficiency anemia

Bleeding between periods

Spotting or bleeding outside your normal cycle

Dizziness or shortness of breath

Signs that blood loss is affecting your body

Experiencing these symptoms? A comprehensive evaluation can investigate possible causes and guide appropriate treatment or referral.

Common Causes of Heavy Periods

Understanding what's causing your heavy bleeding is the first step to effective treatment. Here are the most common root causes we investigate.

1

Hormonal Imbalance

Estrogen dominance or low progesterone causes excessive uterine lining buildup, leading to heavy or prolonged periods.

  • Irregular cycles
  • PMS symptoms
  • Mood swings
  • Weight gain
2

Thyroid Disorders

Both hypothyroidism and hyperthyroidism can disrupt menstrual patterns, causing heavier or more frequent periods.

  • Fatigue
  • Weight changes
  • Temperature sensitivity
  • Hair thinning
3

PCOS & Fibroids

Polycystic ovary syndrome and uterine fibroids are common structural and hormonal causes of abnormal bleeding.

  • Pelvic pain
  • Irregular periods
  • Bloating
  • Pressure symptoms

Benefits of Root-Cause Heavy Period Treatment

Instead of just masking symptoms, we find and treat the underlying cause of your heavy bleeding for lasting relief.

Root-cause investigation, not just symptom management
Comprehensive hormone and thyroid testing
Iron and anemia assessment included
Hormonal therapy options when appropriate
Coordination with gynecology if needed
Personalized treatment plan for your situation
Ongoing monitoring and dose adjustments
Florida statewide telehealth coverage

The Thrive RX Difference

Many providers prescribe birth control as a blanket solution for heavy periods without investigating the cause. We take a different approach.

  • 1
    Comprehensive labs: hormones, thyroid, CBC, iron studies
  • 2
    Root-cause diagnosis: identify WHY your periods are heavy
  • 3
    Targeted treatment: address the cause, not just symptoms
  • 4
    Gynecology coordination when structural causes are found

How Heavy Period Treatment Works at Thrive RX

Our step-by-step process ensures we identify the root cause and provide targeted treatment for lasting relief.

1

Initial Evaluation ($250)

Discuss your bleeding patterns, symptoms, medical history, and concerns with our physician via telehealth.

2

Comprehensive Lab Work

Testing is guided by your history and symptoms and may include a blood count, iron studies, thyroid testing, or other evaluation. Some causes require imaging or an in-person examination.

3

Personalized Treatment Plan

Based on your labs and symptoms, we create a customized treatment plan addressing the underlying cause of your heavy bleeding.

4

Ongoing Monitoring ($200 follow-ups)

Regular follow-up visits to track improvement, adjust treatment, and ensure your bleeding normalizes and anemia resolves.

Outstanding medical care and professional staff

"I highly recommend Dr. Kiswani-Barley to anyone looking for a compassionate and professional physician. The level of medical expertise and attentiveness is unmatched. Staff included provide exceptional care. They take the time to answer all questions and never make you feel rushed."

Originally posted on Google

Can't say enough good things

"I can't say enough good things about Dr. Kiswani! I am currently a hormone therapy patient of hers, but she has gone above and beyond to help me with my health. She truly cares about her patients and takes the time to listen and understand your concerns."

Originally posted on Google

Read reviews on Google

Frequently Asked Questions About Heavy Periods

Get answers to common questions about heavy menstrual bleeding, causes, and treatment at Thrive RX.

Heavy Periods Treatment Throughout Florida

We provide heavy period evaluation and treatment to women across Florida via secure telehealth appointments.

Weston & Broward County

Telehealth evaluations for heavy periods, including hormone and thyroid testing, for Broward County women.

Fort Lauderdale

Fort Lauderdale women access root-cause menorrhagia evaluation via telehealth with convenient lab options.

Miami-Dade County

Miami-area women receive comprehensive heavy period evaluation via our physician-led telehealth platform.

Palm Beach County

Boca Raton and West Palm Beach patients enjoy easy access to heavy periods treatment via telehealth.

Central Florida

Orlando, Tampa, and Central Florida women connect with our physician for heavy period care.

Florida Statewide

Our telehealth heavy period services extend to Jacksonville, Tallahassee, and all Florida communities.

Serving Florida Statewide via Telehealth

Ready to Find Out Why Your Periods Are So Heavy?

Schedule your evaluation with our physician team to investigate the root cause of your heavy bleeding and get a personalized treatment plan.

Serving Fort Lauderdale, Miami, Boca Raton, Palm Beach & all of Florida via Telehealth

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