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How much do you bleed?
Do you have to change sanitary protection (pads or tampons) at night?
During the day would you manage 2-3 hours without changing your pad or tampon?
Does your bleeding affect you physically, i.e. do you find yourself breathless or faint?
How does it affect your daily life?
If HMB is diagnosed, depending on your medical history, the cause of your heavy bleeding may need to be investigated further.
In up to 60% of women there is not an obvious cause for HMB, in some women there are certain high-risk factors that should be checked, for example if you experience bleeding between periods or after sex, or if you have pelvic pressure or pain.
Side effects should be reported. Reporting forms and information can be found at https://yellowcard.mhra.gov.uk
You should also discuss any side effects you are experiencing with your GP or pharmacist.