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If you are having Heavy Monthly Bleeding, print out this questionnaire with your answers and bring it with you to your next appointment with your healthcare professional. Your answers may help your healthcare professional with diagnosis and treatment for your heavy periods.
Download the MIQ Questionnaire
Does your bleeding soak through one or more pads or tampons every hour for several hours? Yes No Do you need to change your sanitary protection during the night? Yes No Do you often need to double up protection to manage your menstrual bleeding? Yes No Do you have to organize your physical, leisure, and daily activities around it? Yes No Does it get in the way of daily activities? If yes, how many days on average each month? 1 2 3 4 5 Does your heavy menstrual flow make you miss school, work or family events? Yes No How long have you been suffering with heavy periods? Under three months Six months to a year One to two years Over two years
If you've answered yes to one or more questions, talk to your healthcare professional about Heavy Monthly Bleeding and ask if LYSTEDA may be right for you.
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More than half of women wish there was a treatment for heavy monthly bleeding that did not affect their reproductive abilities, and more than 4 in 5 yearn for more non-hormonal and non-surgical treatment options.†
†Findings from "Living with Heavy Menstrual Bleeding – A National Survey of 500 U.S. Women," conducted online in June 2010 by Harris Interactive Inc. on behalf of Ferring Pharmaceuticals Inc. Download the full Harris Interactive survey on Heavy Menstrual Bleeding.