Abnormal Menstrual Bleeding
with heavy bleeding that interferes
with your physical, emotional
and social life …
mistakenly thinking
you must live with it.
My goal is to make sure you are safe
and to improve your quality of life”
CAUSES OF ABNORMAL BLEEDING:
Abnormal uterine bleeding can be caused by:
Pregnancy
Hormonal imbalance
Disorders of the uterus – Fibroids, Polyps, Cancer (Cervical or Uterine)
Endometriosis (Internal or External)
Pelvic Infections
Polycystic Ovary Syndrome
General medical illnesses.
.
…………………………………..it is helpful to look at each area separately.
The cause of your bleeding
can usually be diagnosed
in one or two office visits!
FIRST STEPS:
Medical History and Physical Examination
TEST FOR:
Pregnancy
Ovarian, Thyroid, Pituitary and Adrenal Hormone abnormalities
Blood clotting disorders.
LOOK AT THE UTERUS:
High-resolution Gyn Ultrasound
LOOK IN THE UTERUS:
Sonohysterogram with sampling of the uterine lining
Hysteroscopy with sampling of the uterine lining
After causes have been thoroughly evaluated,
we will discuss treatment options based on your symptoms, physical and lab findings, age, goals, and your personal preferences.
TREATMENT CHOICES:
Watchful waiting
Behavioral and Lifestyle modifications
Iron Replacement
Birth control pills
Motrin or Aleve
Oral Progesterone – short term
Hormone Releasing IUD
Lysteda / Tranexamic acid
GnRH Agonists / Antagonists
Surgery (depending on cause)
…..Hysteroscopic Surgery
…..Endometrial Ablation
…..Fibroid Removal Surgery
…..Uterine Artery Embolization
…..Hysterectomy
KEEP A RECORD OF YOUR BLEEDING:
Go to iTunes or Google store and look for an App. my favorite is:
Flo Period and Ovulation Tracker
…………………. Apple iTunes
or
…………………. Google Store
VALUABLE LINKS:
Cleveland Clinic – Abnormal Menstruation