My Journey with Heavy Periods Due to Uterine Fibroids

This is a sponsored collaboration with AbbVie. All opinions are my own and I have not taken Oriahnn to treat heavy menstrual bleeding associated with uterine fibroids.

As women, we know how busy and complicated life can get. From juggling multiple priorities at home, with friends, in our careers and extended family – we can be stretched thin. Now imagine juggling all that and being blindsided by a heavy period caused by uterine fibroids. I know about this firsthand and I have experienced the anxiety that comes each month as I anticipate my period approaching. I begin to wonder just how bad it may be. Women often shy away from this topic, thinking they are the only ones to go through this and feel this way. I’m here to let you know you are not alone. Over time, I've been able to better manage my heavy periods due to uterine fibroids.

What is a “heavy” period?

Because all women are different and anything that is normal for one woman’s body may be abnormal for another, there is a specific description of what it means to have a “heavy” period. Generally, research and medical professionals indicate bleeding as heavy when:

· Bleeding lasts more than 7 days.

· Bleeding soaks through one or more tampons or pads every hour for several hours in a row.

· Needing to wear more than one pad at a time to control menstrual flow.

· Needing to change pads or tampons during the night.

· Menstrual flow with blood clots that are as big as a quarter or larger.

Going through this every month can impact your daily life. If this sounds like you, don’t normalize your symptoms! This could be a sign of uterine fibroids.

What causes heavy periods?

Common causes of heavy periods can include, but may not be limited to:

● Medication

● Hormones

● Bleeding disorders

● Uterine growths, including uterine fibroids

Not only may heavy periods become a major inconvenience and disruption to your daily activities, they may also lead to serious negative impacts on health. If you are experiencing heavy periods, see your doctor as soon as possible to determine the underlying cause. For some women, uterine fibroids may be the cause of heavy periods.

What are uterine fibroids?

Uterine fibroids, also called leiomyomas, are estrogen and progesterone-dependent non-cancerous tumors of the uterus and are the most common type of benign tumor in women of reproductive age. They may vary in size, from as small as a pea to even larger than a grapefruit. Fibroids can be asymptomatic, but in some women, fibroids can cause common symptoms such as heavy menstrual bleeding.

Uterine fibroids affect up to 70 percent of Caucasian women and more than 80 percent of African American women by age 50. The reasons for the disparity in cases is still unclear, and there is more data to unpack to get the full picture.

I discovered I had fibroids in my early 20s. I experienced many different emotions like fear, anxiety, uncertainty, and even sometimes frustration. I felt as though I had done something wrong that was causing my body to not work as it should. After visiting my doctor, I soon found that was not the case. I also learned that there were several things I could do to manage my heavy periods.

Are there treatment options available?

There are treatment options available that are important to discuss with your gynecologist to determine if they are right for your specific needs.

Recently, I’ve been informed about a number of possible treatment options, one of which is ORIAHNN™ (elagolix, estradiol, and norethindrone acetate capsules; elagolix capsules), the first FDA-approved non-surgical, oral medication option for the management of heavy menstrual bleeding associated with uterine fibroids in pre-menopausal women. It is not known if Oriahnn is safe and effective in children under 18 years of age. Oriahnn may increase your chances of heart attack, stroke, or blood clots, especially if you are over 35 years of age and smoke, have uncontrolled high blood pressure, high cholesterol, diabetes, and/or are obese. Stop taking Oriahnn and talk to a doctor right away if you have symptoms of a heart attack, stroke, or blood clot.

Please see below for Use and Important Safety Information. Please click to see the full prescribing information, including the medication guide.

If you’re living with heavy periods you should strongly consider consulting your doctor to determine the underlying cause. If you’re found to have uterine fibroids, consider your various options for treatment, including Oriahnn. Empower yourself to take action! To learn more about Oriahnn and how to talk to your gynecologist about your heavy period concerns, visit ORIAHNN.com.

USE

ORIAHNN™ (elagolix, estradiol, and norethindrone acetate capsules; elagolix capsules) is a prescription medicine used to control heavy menstrual bleeding related to uterine fibroids in women before menopause. It should not be taken for more than 24 months. It is not known if ORIAHNN is safe and effective in children under 18 years of age.

Have you considered any treatment options if you experience heavy periods?

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about ORIAHNN?

ORIAHNN may cause serious side effects, including:

● Cardiovascular Conditions

○ ORIAHNN may increase your chances of heart attack, stroke, or blood clots, especially if you are over 35 years of age and smoke, have uncontrolled high blood pressure, high cholesterol, diabetes, or are obese. Stop taking ORIAHNN and call your healthcare provider right away or go to the nearest hospital emergency room right away if you have:

■ Leg pain or swelling that will not go away

■ Sudden shortness of breath

■ Double vision, bulging of the eyes, or sudden blindness (partial or complete)

■ Pain or pressure in your chest, arm, or jaw

■ Sudden, severe headache unlike your usual headaches

■ Weakness or numbness in an arm or leg, or trouble speaking

● Bone Loss (Decreased Bone Mineral Density [BMD])

○ While taking ORIAHNN, your estrogen levels may be low. Low estrogen levels can lead to BMD loss.

○ If you have bone loss on ORIAHNN, your BMD may improve after you stop taking ORIAHNN, but complete recovery may not occur. It is unknown if these BMD changes could increase your risk for broken bones as you age. For this reason, you should not take ORIAHNN for more than 24 months.

○ Your healthcare provider may order an X-ray test called a DXA scan to check your bone mineral density when you start taking ORIAHNN and periodically after you start.

○ Your doctor may advise you to take vitamin D and calcium supplements as part of a healthy lifestyle.

● Effects on Pregnancy

○ Do not take ORIAHNN if you are pregnant or trying to become pregnant, as it may increase the risk of early pregnancy loss.

○ If you think you may be pregnant, stop taking ORIAHNN right away and call your HCP.

○ ORIAHNN can decrease your menstrual bleeding or result in no menstrual bleeding at all, making it hard to know if you are pregnant. Watch for other pregnancy signs like breast tenderness, weight gain, and nausea.

○ ORIAHNN does not prevent pregnancy. You will need to use effective methods of birth control while taking ORIAHNN and for 1 week after you stop taking ORIAHNN. Examples of effective methods can include condoms or spermicide, which do not contain hormones.

○ Talk to your HCP about which birth control to use during treatment with ORIAHNN. Your HCP may change the birth control you are on before you start taking ORIAHNN.

Do not take ORIAHNN if you:

● Have or have had:

○ A stroke or heart attack

○ A problem that makes your blood clot more than normal

○ Blood circulation disorder

○ Certain heart valve problems or heart rhythm abnormalities that can cause blood clots to form in the heart

○ Blood clots in your legs (deep vein thrombosis), lungs (pulmonary embolism), or eyes (retinal thrombosis)

○ High blood pressure not well controlled by medicine

○ Diabetes with kidney, eye, nerve, or blood vessel damage

○ Certain kinds of headaches with numbness, weakness, or changes in vision, or have migraine headaches with aura if you are over age 35

○ Breast cancer or any cancer that is sensitive to female hormones

○ Osteoporosis

○ Unexplained vaginal bleeding that has not been diagnosed

○ Liver problems including liver disease

● Smoke and are over 35 years old

● Are taking medicines known as strong OATP1B1 inhibitors that are known or expected to significantly increase the blood levels of elagolix. Ask your HCP if you are not sure if you are taking this type of medicine.

● Have had a serious allergic reaction to elagolix, estradiol, norethindrone acetate, or any of the ingredients in ORIAHNN. Ask your HCP if you are not sure.

● FD&C Yellow No.5 (tartrazine) is an ingredient in ORIAHNN, which may cause an allergic type reaction such as bronchial asthma in some patients who are also allergic to aspirin.

What should I discuss with my HCP before taking ORIAHNN?

Tell your HCP about all your medical conditions, including if you:

● Have or have had:

○ Broken bones or other conditions that may cause bone problems

○ Depression, mood swings, or suicidal thoughts or behavior

○ Yellowing of the skin or eyes (jaundice) or jaundice caused by pregnancy (cholestasis of pregnancy)

● Are scheduled for surgery. ORIAHNN may increase your risk of blood clots after surgery. Your doctor may advise you to stop taking ORIAHNN before you have surgery. If this happens, talk to your HCP about when to restart ORIAHNN after surgery.

● Are pregnant or think you may be pregnant.

● Are breastfeeding. It is not known if ORIAHNN can pass into your breastmilk. Talk to your HCP about the best way to feed your baby if you take ORIAHNN.

Tell your HCP about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Women on thyroid or cortisol replacement therapy may need increased doses of the hormone.

Keep a list of your medicines with you to show to your HCP and pharmacist when you get a new medicine.

What should I avoid while taking ORIAHNN?

● Avoid grapefruit and grapefruit juice during treatment with ORIAHNN since they may affect the level of ORIAHNN in your blood, which may increase side effects.

What are the possible side effects of ORIAHNN?

ORIAHNN can cause additional serious side effects, including:

● Suicidal thoughts, suicidal behavior, and worsening of mood. ORIAHNN may cause suicidal thoughts or actions. Call your HCP or get emergency medical help right away if you have any of these symptoms, especially if they are new, worse, or bother you: thoughts about suicide or dying, attempts to commit suicide, new or worse depression or anxiety, or other unusual changes in behavior or mood. Pay attention to any changes, especially sudden changes, in your mood, behaviors, thoughts, or feelings.

● Abnormal liver tests. Call your HCP right away if you have any of these signs and symptoms of liver problems: jaundice, dark amber-colored urine, feeling tired, nausea and vomiting, generalized swelling, right upper stomach area pain, or bruising easily.

● High blood pressure. You should see your HCP to check your blood pressure regularly.

● Gallbladder problems (cholestasis), especially if you had cholestasis of pregnancy.

● Increases in blood sugar, cholesterol, and fat (triglyceride) levels.

● Hair loss (alopecia). Hair loss and hair thinning can happen while taking ORIAHNN, and it can continue even after you stop taking ORIAHNN. It is not known if this hair loss or hair thinning is reversible. Talk to your HCP if this is a concern for you.

● Changes in laboratory tests, including thyroid and other hormone, cholesterol, and blood clotting tests.

The most common side effects of ORIAHNN include: hot flashes, headache, fatigue, and irregular periods.

These are not all of the possible side effects of ORIAHNN. Tell your HCP if you have any side effect that bothers you or that does not go away. Call your HCP for medical advice about side effects.

Take ORIAHNN exactly as your HCP tells you. The recommended oral dosage of ORIAHNN is one yellow/white capsule in the morning and one blue/white capsule in the evening, with or without food.

This is the most important information to know about ORIAHNN. For more information, talk to your doctor or HCP.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit http://www.fda.gov/medwatch or call 1-800-FDA-1088.

If you are having difficulty paying for your medicine, AbbVie may be able to help. Visit AbbVie.com/myAbbVieAssist to learn more.

Please see the Full Prescribing Information, including the Medication Guide.