###Human: Other than BCP, what can I opt to control menstrual bleeding? ###Assistant: Hello. As you are 53 years now and your primary concern was menorrhagia (heavy menstrual bleeding) which causes anemia and other issues. If it has been controlled with birth control since the last six months, then this indicates hormonal imbalances. Now at 53, you should be expecting your menopause soon, which cannot be found out if you remain on birth control, hence you can opt to stop them for two cycles and watch for bleeding. If any, then either you can restart or simply opt for hysterectomy (surgery to remove a part of the uterus) for failed medical management for menorrhagia, as fertility is not a concern in your case.