Management of Menstrual Disorders
You may have suffered for years
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.
Good News!
The cause of your bleeding can usually be diagnosed in one or two office visits!
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.
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