High dose antiinflammatories taken 2-5 days before your period can decrease blood flow by 20-40% (it's not just about the pain)
Tranexamic acid improves the platelets action in our blood and is even more effective when used with antiinflammatories
The contraceptive pill can improve blood flow, and also help mood. Ones such as Yaz, Yasmin and Zoely are better for those with hormone related mood challenges and premenstrual symptoms
Calcium supplementation (1000mg daily) has been shown to improve PMS, and also when combined with vitamin B6 (50mg)
Fibre can help bowel movements, general metabolism and overall health. I often prescribe Konsyl D/metamucil (psyllium husk)
Other options include the Mirena, progesterone only pills, the Depot (jab) and the rods. The choice is really individual.
Supplements can assist with menstrual health and more. Also some supplements can increase blood flow
Vitamin B6, inositol, carex, zinc, and more can help premenstrual syndrome and premenstrual symptoms
Dietary choices can impact your menstrual experience. Constipation and bowel slowing occurs pre period, and calcium can improve menstrual experience
In our clinic appointments we like to put all of these pieces together with your history and how your body responds to hormones to improve your experience