Interventions commonly available during pandemics for heavy menstrual bleeding: an overview of Cochrane Reviews

Review (44 RCTs, n=3196) found moderate‐certainty evidence that shows antifibrinolytics & combined hormonal contraceptives reduce heavy menstrual bleeding vs. placebo; and low‐certainty evidence that antifibrinolytics are more effective vs. NSAIDs/short‐cycle progestogens.

SPS commentary:

Several interventions for heavy menstrual bleeding, including a levonorgestrel-releasing intrauterine system, endometrial ablation, endometrial resection, and hysterectomy, are typically unavailable during pandemics. This is because contingency planning often focuses on the need to rapidly and completely reconfigure and repurpose entire health systems. 

Cochrane Database of Systematic Reviews