Heavy Menstrual Bleeding:
At Peachtree Gynecology, we take your concerns about heavy menstrual bleeding seriously. There are 3 main categories abnormal heavy menstrual bleeding can fall under: hormonal changes or abnormalities, anatomic abnormalities such as fibroids or polyps, and uterine hyperplasia or cancer. Hormonal changes or abnormalities can be due to pubertal changes, perimenopause, and even stress hormones and other pituitary hormones such as thyroid and prolactin hormones. Since this category is often where the problem exists, we begin an evaluation by checking bloodwork.
A special pelvic ultrasound called a Saline Infusion Sonogram (SIS) is the best way to evaluate patients for fibroids and polyps of the womb. This procedure is easy to perform and is done here in the comfort of our office.
Finally, endometrial biopsy is the gold standard for evaluating the uterus for endometrial hyperplasia or cancer. This biopsy is also performed in our office and can cause some cramping.
Treatment of Heavy Menstrual Bleeding:
All patients are different and depending on the patient’s age, length of the problem and other historical factors, many different treatment options may be available to control this problem. Options such as hormonal contraceptive pills, Mirena IUD, Novasure endometrial ablation, hysteroscopy, and definitive treatment such as hysterectomy are all ways that certain types of heavy menstrual bleeding can be managed. Here at Peachtree Gynecology we are able to offer all options to you and will partner with you in the decision making for what best fits your lifestyle and condition.