Abnormal bleeding is described by having heavy, painful or irregular periods. It may also be bleeding between periods or after sexual intercourse. After the menopause bleeding is abnormal when it is not associated with Hormone Replacement Therapy (HRT).
20% of pre-menstrual women suffer form painful, irregular or heavy periods but do not realise that in most cases, they can be helped to improve the quality of their lives without surgery.
5% of women who are post menopausal expect to have difficulties and do nothing to alleviate their suffering.
There are many causes for abnormal bleeding which include:
- Endometrial polyps
- Cervical polyps
- Pelvic inflammation
In some cases no cause for the abnormal bleeding is found.
One Stop Menstruation Clinic
At the Hospital of St John & St Elizabeth we have developed a one stop clinic, run by a consultant gynaecoloist where examination, scanning and treatment are offered at the same and first appointment. This minimises costs and provides patients with fast diagnosis and treatment options.
At the clinic appointment the consultant takes a detailed and thorough medical history followed by an internal examination.
Many patients will have a blood test for anaemia and to test for an underactive thyroid.
Following the examination the consultant will undertake a vaginal ultrasound scan to:
- Determine any disturbance to the lining of the womb
- Check the size of the ovaries
- As part of the investigation the consultant may undertake a fluid assisted scan (sonohysterography) to determine a clear picture of the problems.
Diagnosis will determine the likely treatment options. In many cases this can include:
- Medical therapy (tablets)
- Hormone coil
Only when the above have been excluded will surgery be considered.
The clinic offers all of this at the first appointment.