Multi-Symptom Decision Tree

Heavy Bleeding + Anemia

Symptoms: Heavy menstrual bleeding · Iron deficiency · Fatigue · Cramping. Likely cause: Perimenopause heavy bleeding or fibroids/polyps.

Likely cause

Perimenopause heavy bleeding or fibroids/polyps

See condition page →

First steps

  1. CBC + ferritin
  2. Pelvic ultrasound (fibroids/polyps)
  3. Endometrial biopsy if 45+ or post-meno
  4. Track flow days + volume

Treatment options

  • Tranexamic acid (cycle days 1-5)
  • NSAIDs
  • Mirena IUD
  • Endometrial ablation (definitive)
  • Iron replacement

When to see doctor

Soaking pad+tampon hourly. Clots >quarter-size. Any post-menopausal bleeding = urgent.

Browse providers for Perimenopause heavy bleeding or fibroids/polypsTake the matcher

Other symptom combinations

Hot Flashes + Sleep DisruptionBrain Fog + Mood ChangesWeight Gain + FatigueIrregular Periods + AcneLow Libido + Vaginal DrynessJoint Pain + Muscle LossHair Loss + FatigueDepression + Anxiety

Informational only — a symptom pattern is not a diagnosis. Only a clinician can diagnose the cause of your symptoms.