Heavy and/or irregular bleeding are relatively common problems and there are a number of potential causes most of which are benign and easily treated.
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Heavy and/or irregular bleeding are relatively common problems and there are a number of potential causes most of which are benign and easily treated:
Persistent abnormal bleeding should always be investigated and tests may include:
Treatment will depend on the underlying cause but it’s also very important to consider what impact symptoms are having on quality of life. Where tests are reassuring and symptoms are manageable it may be appropriate to do nothing as often over time menstrual cycles can go back to normal.
Generally options are divided into conservative (which essentially means ‘wait and see’), medical or surgical. In many cases several different treatment approaches may be available and ultimately the option that is most acceptable to you as an individual will be the right choice.
Hysteroscopic surgery – problems like polyps or fibroids within the cavity of the womb can be removed very simply using a small telescope as a daycase procedure
TCRE (sometimes called endometrial resection or ablation) – these procedures are performed in the same way as for treatment of polyps or fibroids but instead to remove or destroy the whole of the lining of the womb. The aim of these procedures is to stop bleeding completely and permanently and are clearly only appropriate for women who have completed their family.
Laparoscopic myomectomy – surgical removal of fibroids while preserving fertility.
Laparoscopic hysterectomy – surgical removal of the womb which is a definitive treatment for abnormal bleeding
We have brought together a group of leading gynaecologists and breast specialists to form our Women’s Health team. With over 200 years of combined experience, these expert clinicians are the best in their field and are all focused on delivering the very best patient care.