I'm really anaemic (haemoglobin is 80, getting rechecked tomorrow to see if its the same or worsened) and I reckon the cause is most likely heavy periods so going to need to deal with them but I've never been keen on going on the pill because of side effects, or IUDs because insertion sounds so bloody painful plus heard so many horror stories. What other options are there? Can't take NSAIDs so can't use them to reduce bleeding.