Treatment of Heavy Menstrual Bleeding in Women With Uterine Fibroids


About this study

This is a randomized controlled trial (RCT) to assess the comparative effectiveness of Levonorgestrel Intrauterine System (LNG-IUS) to Tranexamic Acid (TA) for the treatment of heavy menstrual bleeding (HMB) in women with clinically-significant fibroids.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Premenopausal women aged 25-50.
  • Seeking treatment for HMB with a completed clinical evaluation.
  • Image-confirmed uterine fibroids of at least 1 cm in size and either submucosal or intramural.
  • Monthly menses.
  • Completed evaluation of HMB within one year.
  • Able to give consent for inclusion in the study.
  • Understands the English language for consent and questionnaires.
  • Self-reported HMB 3 months or more.
  • Not pregnant or breast-feeding.

Exclusion Criteria:

  • Class 0 fibroids confirmed by hysteroscopy, saline infused sonogram, or 3D ultrasound.
  • Uterine sounding length >14 cm.
  • Abnormal biopsy (pre-malignant or malignant) or incomplete clinical testing to rule out malignancy.
  • Venous thromboembolic history, clotting disorder, strong family history of venous thromboembolic events.
  • Needs hormonal contraception, including estrogen-containing medications.
  • Uterine size >20 weeks gestational size.
  • Breast, uterine or cervical malignancy.
  • Liver disease or liver tumor.
  • Pelvic inflammatory disease or infection with gonorrhea or chlamydia in last 3 months.
  • Hemoglobin less than 8mg/dL; for women 8-12 mg/dL recommend iron.
  • Serum creatinine ≥ 1.4.
  • Pregnant or breast-feeding.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Jacksonville, Fla.

Mayo Clinic principal investigator

Christopher Destephano, M.D., M.P.H.

Closed for enrollment

Contact information:

Christopher Destephano M.D., M.P.H.


Rochester, Minn.

Mayo Clinic principal investigator

Shannon Laughlin-Tommaso, M.D.

Closed for enrollment

Contact information:

Laura Akhtar CCRP

More information


Publications are currently not available

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