
Up to 25%
Menstrual irregularities occur in an estimated 14% to 25% of women of childbearing age.¹

Menstrual irregularities occur in an estimated 14% to 25% of women of childbearing age.¹

Menstrual irregularities occur in an estimated 14% to 25% of women of childbearing age.¹
When it starts happening later — or not at all — progesterone patterns change.

Pregnancy, thyroid conditions, PCOS/PMOS, stress, infections, and certain medications can also affect menstrual bleeding.
Midi clinicians support you from every angle. They start by listening — then draw on the options below to build the right plan for you.

1Labs & testing
1Labs & testing
Targeted labs check for anemia, iron deficiency, thyroid issues, and other possible causes. If your symptoms started earlier than expected, hormone testing may round out the picture.

2Lifestyle coaching & support
2Lifestyle coaching & support
Stress, sleep, nutrition, weight, and exercise can all affect ovulation. Your clinician sorts out what's actually driving your symptoms and recommends support that fits your life.

3Hormone prescriptions
3Hormone prescriptions
Your clinician may discuss options like micronized progesterone or hormonal birth control. If heavy bleeding and pregnancy prevention are both concerns, a hormonal IUD may fit — though placement happens in person.
More to explore:
What is HRT?
4Non-hormone prescriptions
4Non-hormone prescriptions
Treatment depends on your cycle's pattern — early, late, missed, or unusually heavy — and what's likely causing it. If heavy bleeding is part of the picture, certain non-hormonal medications may reduce blood loss or cramping when appropriate.²

5Supplements & botanicals
5Supplements & botanicals
Heavy or prolonged bleeding, for example, can lead to iron deficiency — and that's worth catching. If your levels are low, your clinician will recommend the right dose and keep an eye on your progress.
supplements designed for women, by women
More to explore:
Shop Midi products
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What heavier flow and clots may mean, what to track, and which signs warrant medical care.

When to worry about perimenopausal bleeding
Feb 28, 2026
A straightforward guide to common cycle changes, possible underlying causes, and when bleeding should be evaluated.
1. National Institute of Child Health and Human Development. How many women are affected by menstrual irregularities? https://www.nichd.nih.gov/health/topics/menstruation/conditioninfo/affected
2. Office on Women's Health. Period Problems. U.S. Department of Health and Human Services. https://womenshealth.gov/menstrual-cycle/period-problems https://womenshealth.gov/menstrual-cycle/period-problems
*These real patients became Midi Ambassadors and may receive free products and/or swag. Individual results may vary.
Midi accepts most major health plans. Book a virtual visit to figure out what's got your cycle off course.