**6. Combined oral contraceptive pills**

The combined oral contraceptive pill has various benefits that include the reduction of menstrual blood loss through the regular shedding of a thinner endometrium and the inhibition of ovulation [9].

In a search of the Menstrual Disorders and Subfertility Group trials register for all publications that describe randomized trials of oral contraceptive pills for the treatment of menorrhagia, there was no significant difference in menstrual blood loss between women treated with the oral contraceptive pill and a low dose of danazol, mefanamic acid, or naproxen [9].

A prospective study of 50 women that compared the efficacy and compliance of combined hormonal vaginal ring and oral contraceptive pill in patients with heavy menstrual bleeding suggested that the combined hormonal vaginal ring and oral contraceptive pill are very effective in the short-term therapy for heavy menstrual bleeding [10].
