clinician registered in your province
Every assessment is reviewed by a clinician registered in your province, trained in health conditions prescribing.
C
Care365
online health care in Ontario
Heavy Menstrual Bleeding Treatment Online
See a licensed healthcare professional online about heavy periods — no waiting room, no travel.
Heavy menstrual bleeding (soaking through pads/tampons, passing large clots, or bleeding that disrupts daily activities) has real, effective treatment options. A clinical assessment first checks that this isn't bleeding between periods, after sex, or after menopause — a different pattern that always needs an endometrial evaluation first — and rules out possible pregnancy, before moving to symptomatic treatment.
clinician registered in your province
Usually responds within 24 hours
Prescriptions sent directly
CCare365
Care365 workflowComplete assessment → clinical review → prescription sent when appropriate.
Quick Self-Check
Answer a few quick questions. This isn't a diagnosis — a real clinical assessment is the next step either way.
How We Work
A Care365 clinical reviews your bleeding pattern, cycle regularity, and any anemia symptoms. If there's no bleeding between periods/after sex/after menopause and no possibility of pregnancy, tranexamic acid, an NSAID (mefenamic acid), and/or a combined hormonal contraceptive are reasonable first-line options during menses. Anemia symptoms, a personal/family bleeding-disorder history, or a new pelvic mass each independently trigger their own lab work-up (CBC/ferritin, coagulation studies, or pelvic ultrasound) run alongside — not instead of — symptomatic treatment.
Complete a short online assessment
Answer real, condition-specific questions — takes a few minutes, no appointment needed to start.
A licensed clinical reviews your answers
A real clinician registered in your province reviews your case, with a response within 24 hours of booking in most cases — not an automated approval.
Get your treatment plan
When appropriate, your prescription is sent directly to your preferred pharmacy, with clear next steps.
Why Choose Care365?
Fast, Real Assessments
No generic templates — your answers are reviewed by a real person, with a response within 24 hours of booking in most cases.
Secure & Private
Your information is encrypted and only seen by the clinical reviewing your case.
Prescriptions Sent Directly
When appropriate, your prescription goes straight to your preferred pharmacy — no extra trip needed.
Common Symptoms
- Soaking through pads or tampons, or passing large clots
- Bleeding that causes you to miss work, school, or other activities
- Fatigue, shortness of breath with activity, or looking pale
- A fast or pounding heartbeat, or dizziness/lightheadedness
- Craving ice or non-food items (a specific sign of iron deficiency)
- Restless, uncomfortable legs at night
Treatment Options
These options may be prescribed by a Care365 clinician after a real assessment — this is general information, not a recommendation to use any specific medication without one.
| Medication | Class | Route | Typical Duration |
|---|---|---|---|
| Tranexamic acid 650mg | Antifibrinolytic | Oral | TID during heavy-flow days, up to 5 days |
| Mefenamic acid 500mg | NSAID | Oral | TID during heavy-flow days |
| Combined oral contraceptive | Hormonal contraceptive | Oral | Once daily, ongoing |
Non-medication options
- Iron supplementation — Started empirically if anemia symptoms are present, pending ferritin confirmation.
- Bleeding diary — Track pad/tampon changes and clot size each cycle.
Everything in One Place
- Easy online scheduling — submit your assessment in minutes
- Real clinical review, not an automated approval
- Prescriptions sent directly to your preferred pharmacy when appropriate
- 100% virtual — no travel, no waiting room
Frequently Asked Questions
What counts as "heavy" menstrual bleeding?
Soaking through pads or tampons faster than expected, passing large clots, or bleeding heavy enough to disrupt your daily activities are all reasons to get it assessed rather than just living with it.
Is bleeding between periods treated the same way?
No — bleeding between periods, after sex, or after menopause is never treated as "just heavy periods." It needs an endometrial evaluation (like an ultrasound or biopsy) to rule out a structural or other cause before any symptomatic treatment starts.
What if I could be pregnant?
Possible pregnancy changes the picture completely and needs its own pregnancy-focused work-up rather than routine heavy-bleeding management — you'll be asked about this directly.
Do I need blood tests?
If you have anemia symptoms (fatigue, shortness of breath, dizziness, looking pale) or a personal or family history of easy bruising/bleeding, a CBC, ferritin, or coagulation studies may be recommended alongside your treatment plan — not instead of it.
What treatment options are there?
Tranexamic acid (a non-hormonal option taken during your period), an NSAID like mefenamic acid, or a combined hormonal contraceptive are all reasonable first-line options depending on your situation and whether contraception is also wanted.
Heavy Menstrual Bleeding Can Be Treated
Complete a real assessment online — a licensed Ontario clinical reviews your case and arranges treatment and prescription support when appropriate.
Start a visit request