Tranexamic acid
"Just turned 40.  Periods have been extremely heavy w/ clots galore and horrible cramps since high school. I've tried 4 different types of birth control pills, tried the depo shot, and tried Mirena; nothing worked. I feel like when studies say "9 out of 10 people" that I'm always the one person it didn't work for, whatever "it" may be. Doc said to try tranexamic acid first and if it doesn't work, to consider an ablation before considering a hysterectomy. I'll try to rate this on a pros and cons scale. PROS: My period got slightly less heavier midway thru the second day, but not light by any means. CONS: extreme dizziness, numbness in face and hands, severe sharp pains in my abdomen. Not willing to do this monthly. Guess ablation's next. :("