Why does heavy menstrual bleeding occur?
Many women seek medical care for heavy menstrual bleeding because it impacts their daily activities and quality of life.
The normal menstrual cycle lasts between 21-35 days, and the duration of normal menstrual flow is about 5 days. Excessive blood loss is based upon patient perception.
Diagnosis of Heavy Menstrual Bleeding
The differential diagnosis of heavy menstrual bleeding should be considered when evaluating reproductive age women. Abnormalities to be addressed are evaluation for polyp, adenomyosis, fibroids, malignancy, hyperplasia, blood clotting abnormalities, ovulatory dysfunction, and evaluation of the endometrium.
Evaluation may include blood work, pelvic ultrasound, and biopsy of the uterine cavity. Treatment options are tailored to the individual woman, and may include medical therapy, hysteroscopy with resection of endometrial polyp, hysteroscopy with resection of submucosal fibroid, endometrial ablation, and placement of the intrauterine levonorgestrel-releasing system, a type of IUD, and in some instances hysterectomy.
The patient should be counseled regarding future childbearing and the need for appropriate post-procedure contraception if undergoing surgical procedures for control of heavy menstrual bleeding.
I am able to provide ultrasound and full medical evaluation on site at Marina Shores OBGYN.
Tags: Abnormal Bleeding