Heavy Painful Periods
Abdorminal Cervical Smear
Pelvic Organ Prolapse
Bleeding After Menopause
Pain After Intercousre
This is defined as menstrual loss of greater than 80 mls with each period. It affects more than 1 in 5 women. Heavy periods is one of the most common causes of iron deficiency anaemia in western women.
Menstrual flow that interferes with your regular activities e.g. becoming house bound due to the heavy periods
Periods that last longer than eight days
Menstrual flow that soaks through one or more tampons or napkins every hour for several consecutive hours
Menstrual flow that includes large blood clots
Anaemia causing tiredness
The commonest cause in the younger age group is due to an hormonal imbalance or dysfunctional uterine bleeding (DUB).
Pelvic inflammatory disease
Blood tests - to exclude anaemia
Ultrasound scan - To exclude uterine polyps or fibroids. Assessment of the ovaries are also made
Endometrial biopsy - a sample of endometrial tissue that is obtained to be examined under a microscope
Hysteroscopy- Assessing the lining of the uterus
This is based on the patient's age, contraceptive wishes and the severity of the heavy periods.
Oral contraceptive pill
By removing the lining of the uterus by ablation ie. Novasure Endometrial ablation. This procedure has a high success rate and may be performed under sedation with local anaesthetic.
Laparoscopic (key hole surgery)
Subtotal or partial (conserving the cervix)