Symptoms • Unusal increase in the blood loss • Menses lasting longer than 7 days • Frequent flooding requiring excessive use of heavy pads and tampons, more than every 4 hours or more than once at night-time. • Passing large blood clots wider than 3 cm in diameter. • Tiredness and Iron deficiency anaemia on a blood test.
• Hormonal imbalance (Dysfunctional uterine bleeding) • Fibroids • Endometrial polyps • Endometrial Hyperplasia • Adenomyosis, which is uterine enlargement due to the presence of blood in the muscle wall of the uterus • Uterine infections • Abnormal vessels • Contraceptive intra uterine devices • Endometrial cancer • Blood and clotting disorders also thyroid problems
Blood investigations, Ultrasound, Hysteroscopy and curettage and Laparoscopy can be used to aid in diagnosing the problem. Treatment • Medical : in the form of hormones or hormone IUCD( Mirena)also Non steroidal anti-inflammatory medications. • Surgical: 1) Endometrial ablation which is destruction of the lining of the womb through the vagina-Day only procedure. 2) Myomectomy, which removal of the fibroid 3) Hysterectomy.
Dr Nada will discuss in details the treatment options, which is most suitable to your problem.