Although all hormonal birth control methods have an effect on menstrual bleeding, some contraceptives can be better than others when it comes to heavy periods.

If you get periods, any bleeding can feel like too much.

According to the Centers for Disease Control and Prevention (CDC), losing two to three tablespoons of blood is typical. If you lose twice as much or more each month, your periods are heavy by clinical standards. This is known as menorrhagia.

Birth control pills are a primary method of managing heavy periods and other menstrual problems, such as severe cramps.

Learning about the options — and there are quite a few — can help you narrow down the best birth control for your individual needs and preferences.

A quick look at the best birth control options for heavy periods

A 2021 review shows that hormonal birth control can help manage heavy periods. It can work when used alone or in combination with other menorrhagia treatments.

While each type can help, they aren’t all exactly the same. They differ in cost, scheduling, and potential side effects.

Here are a few key factors to consider when making your choice.

  • some methods might require a pelvic exam
  • you don’t have to stick to the same method forever
  • some methods may require a guardian’s consent
  • cost can range from free to big bucks, depending on the type

How we chose

We considered several factors when deciding which types of birth control to feature in this article, including:

  • effectiveness
  • accessibility
  • convenience
  • price

Every type of birth control has its merits. Some are easier to access, some are more effective, and some are just plain popular for various reasons.

Here’s how they measure up.

Most accessible

If accessibility is at the top of your list, these options are the easiest to get your hands on. In some states, they may be available at pharmacies or online. In some cases, you may not even need a prescription, depending on where you are.

These options include:

Like other birth control methods, these options are covered by insurance. They are also generally more affordable than some other methods, such as IUDs, if you don’t have insurance.

Birth control pills like combination birth control or the mini pill are usually taken daily. Meanwhile, the Depo-Provera shot is only administered once every three months, which may be ideal for those who prefer a lower maintenance option.

Most effective

All hormonal birth control methods have some effect on flow, but these are some of the best options when it comes to heavy periods. They make periods lighter or stop the bleeding altogether.

  • hormonal IUD
  • minipill, when used correctly
  • extended- or continuous-cycle birth control pill, when used correctly

Unlike many other birth control methods, hormonal IUDs can last between three and eight years, according to the CDC. This makes them one of the most convenient choices for preventing pregnancy and managing heavy periods.

On the other hand, birth control pills are more easily accessible. They can be a cost-effective option for people who don’t have health insurance.

The minipill, or progestin-only pill, takes the top spot as the most popular birth control option for people with heavy periods.

In fact, according to research from 2021, people who cite heavy periods as their primary reason for going on birth control usually choose the minipill.

Extended- or continuous-dose birth control pills are pretty popular, too. This is because of the long period-free intervals, which can be around three months to a full year.

This type of birth control also contains a combination of estrogen and progestin. According to 2024 research, this combo may help ease other conditions that often accompany menstruation, such as acne, menstrual pain, and migraine.

Both birth control methods are easily accessible and affordable options for those with or without health insurance.

How it worksFrequency of useRequires procedure?
Combination birth controlpill taken by mouthdailyno
Minipillpill taken by mouthdailyno
Depo-Provera shotinjectionthree monthsyes
Hormonal IUDinserted into uterusthree to eight yearsyes
Extended- or continuous-cycle birth control pillpill taken by mouthdailyno
Progesterone pillspill taken by mouthdailyno

Asking yourself these questions before choosing a type of birth control for heavy periods can help you narrow down your choices for the best pick.

  • How effective is it?
  • Is it easy to use?
  • How comfortable are you with using it?
  • What are the potential side effects?
  • Will it affect any preexisting health conditions?
  • Does it have any other benefits, such as helping with cramps or acne?
  • How much does it cost?

If you already have a healthcare professional you’re comfortable with, they might be a good place to start.

But you have other options, too:

Can birth control help with a heavy menstrual flow?

Hormonal birth control can be helpful for people with heavy menstrual flows. According to 2021 research it blocks the growth of the lining of the womb before menstruation, which can decrease bleeding.

Can birth control make your period lighter?

Some types of birth control can make your period lighter by reducing bleeding during menstruation. This includes hormone-based birth control methods like hormonal IUDs, birth control pills, and the Depo-Provera shot.

Can birth control make your period worse?

Starting any new form of birth control can cause changes to your menstrual cycle, including changes in the length or flow of your period.

Though birth control is unlikely to cause heavier bleeding during your period, you may notice changes if you are switching from a hormone-based birth control to a nonhormonal birth control method.

If you do experience heavier bleeding after starting a new form of birth control, be sure to talk with a doctor. They can help determine if other factors may be involved or if another birth control option may work better for you.

Although all hormonal birth control methods have an effect on menstrual bleeding, some contraceptives can be better than others when it comes to heavy periods.

While each type can help, they aren’t all exactly the same. They differ in cost, scheduling, and potential side effects.

It can be help to factor in the following when choosing:

  • effectiveness
  • accessibility
  • convenience
  • price

A healthcare professional, such as a gynecologist, can help you decide which birth control methods may be best for you.