As well as asking general questions about your period and how it affects you, your doctor may perform, or request, several tests, including:
- A physical exam, which may include an internal exam.
- A smear test.
- A blood test to check for iron deficiency.
- An ultrasound.
- Check your blood pressure and heart rate.
- Agreement on the next steps regarding possible treatment. 
Before your appointment, you may wish to download our period diary and questionnaire. We also recommend reading the treatment comparison chart, which outlines the most common treatment options available in the UK. These tools can help you feel in control of the conversation with your GP. They can help you evidence and discuss how severe your problem is and to what extent your heavy periods affect your life. This will also provide insight to determine what treatment exists that applies to you – allowing you to discuss your options in greater detail with your doctor.
However, be prepared to walk out of your first appointment without a set treatment plan. Your doctor will likely need more information before talking through which treatment options will be suitable for you. You may be invited to participate in a clinical test, depending on your symptoms, and expect to await the results before looking into your choice(s) of treatment.
Your doctor should discuss the next step in the process with you.
Consider what you want to speak about with your doctor in advance. Track your symptoms to give you detailed evidence of cycle length, how heavy each period is, the pain scale and the overall impact on your life. Then, the doctor or healthcare professional should tell you what to expect next – (depending on the displaying symptoms).
Be prepared for a treatment option to fail. There are many causes of heavy menstrual bleeding, and not all tests are conclusive. The wrong test could have been performed for your underlying cause showing little to no issues. Be prepared to be recalled or recall yourself to the doctors for further tests. If a treatment isn’t working for you, do not settle – go back to your GP to ask for further tests or ask to see a specialist.
 – Heavy periods (2021) nidirect. Available at: https://www.nidirect.gov.uk/conditions/heavy-periods#:~:text=Your%20GP%20will%20start%20by,check%20iron%20deficiency%20anaemia. (Accessed: 18 May 2023).