Menorrhagia is a characterized by heavy bleeding during menstruation. Blood loss of more than 80 mL during a menstrual cycle is considered as a condition of menorrhagia. In certain cases, when progesterone therapy is not suitable, antifibrinolytics like Tranexamic acid are used to manage the heavy periods. This article gives an overview of Tranexamic acid which is on WHO's list of essential medicines. A condition of heavy bleeding during the menstrual cycle is generally observed due to iron deficiency anemia.

More than 67% menorrhagia patients have reported anemia at the same time. The major cause of the excessive bleeding is the hormonal imbalance which causes dysfunctional uterine bleeding. The other causes are fibroids and polyps which lead to structural uterine bleeding. In some cases infections or cancers of cervix, uterus or vagina can cause heavy menstrual bleeding. Depending…