Hello dear I understand you concern Heavy menstrual bleeding need investigations. Following are the causes: hormonal imbalance, poly, cervix and endometrium dysplasia, ectopic pregnancy if you are sexulally active, fibroid/myoma. I would suggest to consult the gynecologist and undergo vaginal examination, reproductive hormone analysis, USG scan, endometrial biopsy/PAP smear. Progesterone pill/shot, tranexamic acid will help Meftal spas for pain Take rest with pillow under the leg, maintain proper pelvic hygiene Hope this may help you Contact HCM for further health query Best regards Dr. Sagar