HEAVY PERIODS

Heavy periods are a typical concern among ladies before menopause. The medical term for serious emission bleeding is “menorrhagia”.

If you have got menstrual bleeding thus serious that you simply dread your period, particularly when your period have causes enough blood loss and cramping that you just need to limit your daily activities, visit your physician or gynecologist. There are several effective treatments for menorrhagia.

The common causes of serious menstrual bleeding are:

  • Not ovulating frequently once per month – This causes your menstrual period to be irregular or absent, and once the amount returns it causes serious bleeding.
  • Having abnormal growth within the uterus – the foremost common non-cancerous (benign) growths are:
  • Having a condition that will increase bleeding throughout the body – This happens once ladies are taking sure medicines like blood thinner, or once they have some familiar medical conditions that cause them to bleed easily.

In specific, obtain medical facility if you experience:

  • Anaemia as a results of serious periods. this may mean that your bleeding is very serious. Your doctor might suggest iron supplement to correct anaemia and improve your overall well being.
  • Bleeding between periods or frequent vaginal bleeding.

Depending on your symptoms and medical background, your Doctor may:

  • perform a pelvic exam;
  • arrange blood tests to look for anaemia, a bleeding disorder or thyroids disease;
  • recommend iron supplements if you have anaemia or low iron levels on blood tests;
  • perform Pap smear for you if it is overdue;
  • arrange a pelvic ultrasound scan - Ultrasound scan uses sound waves to produce an image of the uterus and ovaries. It can help to detect growths such as polyps and fibroids; or
  • recommend some simple first-line drug therapy.


You may need to see a Gynaecologist when:

  • your symptom is severe;
  • your haemorrhage has not improved with the first-line drug therapy;
  • pelvic ultrasound scan suggests the chance of abnormal growths, like polyp or massive fibroids;
  • your bleeding is so serious that it has caused anaemia;
  • you have irregular bleeding pattern that warrants additional tests by a specialist; or
  • you may benefit from additional advanced therapies or surgical treatment.

We will assist you to figure up the reason for serious periods and to work out the most effective treatment strategy for you. Specific treatment are going to be tailored to the condition and needs of individual woman. it's supported variety of factors, including:

  • the cause and severity of the condition
  • your menstrual cycle pattern and presence of menstrual cramp
  • your tolerance for specific medications and procedures
  • your future childbearing plans
  • your age, overall health and medical history
  • your life-style and private preference
  • any risk factors that signify the need of ruling out cancer
Our specialized treatment programmes

The followings are some samples of our treatment packages for menorrhagia. they will be used alone, together or as a part of a stepwise management strategy.

  • One-stop pelvic ultrasound scan and counseling
  • A pelvic ultrasound scan is one among the essential tests in several cases of period. It's significantly helpful to appear for any abnormal growths within the female internal reproductive organ and ovaries, like fibroids, polyps within the female internal reproductive organ, thickness of the female internal reproductive organ lining, and cysts within the ovaries.

    In our consulting session, we provide time period scanning so the gynecologist and patient will both verify the dynamic pictures at a similar time and discuss the findings instantly. A treatment plan will then be developed within the same consultation.

    Alternatively, if you've got already had an ultrasound scan organized by your doctor, please bring along your report and that we will discuss following treatment step supported the scanning result.

  • Medical Treatment Review
  • Medical treatment of menorrhagia can be advised of:

    • Simple oral medications that are solely must be taken at the time of bleeding. Some have the additional advantage of relieving painful menstrual cramps;
    • Hormonal treatment – they're notably useful in correcting hormonal imbalance and regulation menstrual cycles. Some provides bonus advantages of providing birth control; or
    • a combination of both.

    We undergo your current medications and modify the indefinite quantity, or suggest a replacement regime according to your specific condition.

  • Hysteroscopy test and surgery – a same-day procedure for diagnosis and therapeutic treatment
  • This treatment package will assist you to:

    • Rule out the rare possibility of cancer on the lining of the uterus;
    • Confirm the presence/absence of polyp or fibroid inside the uterus;
    • Remove any abnormal growth inside the uterus; and
    • Have treatment of menorrhagia at the same time.

    You may be significantly appropriate for this treatment package if:

    • You are over thirty five years old and have irregular, frequent or very serious periods;
    • you have some irregular bleeding between the periods;
    • ultrasound scan suggests polyp or fibroids within the uterus; or
    • your bleeding issue does not improve with medical treatment.

    Part 1- Diagnosis
    First of all, the gynecological surgeon performs a hysteroscopy to rigorously look within the uterus. A hysteroscope is a little, slender camera that goes through the vagina into the womb and produces a video image of the uterine cavity on the TV screen.

    Know more about Hysteroscopy

    The surgeon can then get a diagnostic test at the lining of the womb (endometrial biopsy), sometimes by a minor procedure known as D&C. this is often a very important step to rule out cancer within the womb.

    Part 2 - Treatment
    Immediately afterward, the gynecologist performs one amongst the therapeutic procedures to scale back bleeding in the future:

    • Insertion of a hormonal IUD (Mirena) - This intrauterine device domestically releases a hormone known as levonorgestrel, that makes the lining of the womb thin and reduces menstrual blood and cramping.
    • Hysteroscopic removal of polyp or fibroid (Hysteroscopic polypectomy or Hysteroscopic myomectomy) – Any polyps or fibroids within the womb are removed immediately with special devices connected to the hysteroscope.
    • Ablation/resection of endometrium – The lining of the womb (endometrium) is rigorously shaved off with a loop wire device connected to the hysteroscope, or destroyed by a special energy device. As menstrual hemorrhage is caused by shedding of the cells during this lining, removing this layer of tissue is one amongst the effective cures of heavy period problem.

    These procedures is also done in the patient clinic, below regional anesthesia, or once the patient being place to sleep (general anaesthesia). the choice relies on individual tolerance to specific procedures, previous childbirth, the probably explanation for abnormal bleeding, and also the planned therapeutic procedure.

  • Removal of fibroids– Myomectomy
  • Fibroids are one amongst the foremost common causes of serious menstrual hemorrhage. sadly, there aren't any medications that may effectively permanently shrink or fully get eliminate the fibroids. the sole method of removing the fibroids is by surgery. Myomectomy means that surgical removal of fibroids (myoma is that the technical word for fibroid).

    Fibroids are often removed using minimally invasive procedures or ancient open abdominal surgery.

    Most gynaecologists in Australia perform myomectomy using ancient open abdominal surgery. The surgeon makes a “bikini line” incision (called surgical incision, typically concerning 8-15cm) within the lower abdomen to achieve access to fibroids. it's presently the foremost normally performed technique of myomectomy, partially as a result of fewer doctors are expert at the less invasive approaches and fewer medical facilities have all the required instrumentation.

    At our practice, we've replaced open myomectomy with laparoscopic (keyhole) surgery in most of our patients. Laparoscopic myomectomy may be a minimally invasive procedure wherever the surgeon makes little incisions (typically 0.5 – 1.0cm) on the abdomen to get rid of the fibroids from the uterus. The fibroids are then taken out with a tool (morcellator) that with efficiency cuts the fibroid into little pieces and permits for removal through one amongst the little laparoscopic incisions. often, a “mini-laparotomy” is performed Associate in Nursing exceedingly in a very similar fashion to open surgery however with a way little wound when laparoscopic myomectomy to attain an efficient removal of enormous fibroids from the body.

    If the fibroids are little ones within the cavity of the womb, they'll be removed with hysteroscopy as represented on above.

  • The Final Solution: Hysterectomy
  • Hysterectomy is surgical removal of womb. it's the definitive cure of menstrual issues for ladies who don't have any need for pregnancies within the future.. It offers a chance of improving quality of life and sex life, in significantly for ladies whose symptoms act spite of alternative treatments. It eliminates the possibility that menstrual issues or new fibroids can recur.

    Hysterectomy doesn't essentially mean removal of ovaries. If women prefer to keep the ovaries, they might still have traditional hormonal cycles till the age of their natural menopause.

    Same as myomectomy (see above), we are specialised in hysterectomy exploitation minimally invasive techniques.

    Know more about hysterectomy

    Every women is individual and her state of affairs needs a private set up of management. If you think that these problems relate to you, prepare a private consultation with us to discuss your menstrual problems and know a lot of regarding our treatment programmes.