Hi, There are several options to treat frequent and heavy periods: * Hormonal birth control: This can regulate your menstrual cycle and decrease heavy bleeding. However, since you mentioned you do not want to take the pill, there are other forms of hormonal birth control such as the patch, vaginal ring, or hormonal IUD. * Nonsteroidal anti-inflammatory drugs (NSAIDs): These medications can help relieve cramps and decrease bleeding. Examples include ibuprofen and naproxen. * Tranexamic acid: This medication helps reduce heavy bleeding by preventing blood clots from breaking down. * Progestin therapy: This can be prescribed in the form of pills, injections, or an intrauterine device (IUD) and can help regulate the menstrual cycle and reduce heavy bleeding. * Endometrial ablation: This procedure involves removing the lining of the uterus to reduce heavy bleeding. However, it is not recommended for women who want to have children in the future. * Hysterectomy: This involves the removal of the uterus and is usually reserved for women with severe symptoms who no longer want to have children. As for herbs, some women find relief using herbal supplements such as black cohosh, red raspberry leaf, and dong quai. However, it is important to speak with a healthcare provider before taking any herbal supplements as they may interact with other medications and can have potential side effects. Ultimately, the decision to have an ablation or not should be based on a discussion with your healthcare provider weighing the risks and benefits of the procedure. It is important to discuss your concerns and preferences with your healthcare provider to come up with a personalized treatment plan. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician