- Do you suffer with heavy, prolonged or painful periods?
- Do you suffer with bleeding in between periods?
- Do you suffer with bleeding during or after intercourse?
- Have you had some bleeding in the menopause?
- Are you dissatisfied/unhappy with the pattern of your periods in general?
If you have answered “YES” to any of the above questions then we can help.
Any woman who has abnormal vaginal bleeding or unexpected bleeding after the menopause should have a full set of investigations, including ultrasound scans. The investigations are necessary to exclude, amongst other things, cancer of the vagina, cervix and womb (uterus).
Abnormal Vaginal Bleeding: How we can be of assistance?
We will provide sufficient time for consultation so we can explore together the problems you have had. We will also discuss the investigations required and, where required, options of treatment for abnormal vaginal bleeding.
Examination and Investigation
You will need abdominal and pelvic examination. This is an important step in assessing your condition. The examination is performed with dignity and painlessly. The examination is usually followed by some specialist investigations such as:
Vaginal ultrasound is preferred because of the greater detailed information obtained that way than the abdominal ultrasound. The ultrasound scan assesses the lie and size of the womb, the ovaries and measures the lining of the womb. When this is thickened, it raised the potential for polyps, inside the womb or in the cervix.
Hysteroscopy examination and sample taking
Following an ultrasound scan, the inside of the womb is inspected with a fine telescope (with an attached camera) examination in a procedure called hysteroscopy. This enables the specialist to inspect the inside of the womb for polyps and signs of cancer.
A sample for further laboratory tests is taken from the lining of the womb using a fine catheter. Hysteroscopy does not normally require any anaesthetic but, where necessary, a local anaesthetic will be used.
These may be necessary in certain situations, such as in suspected Polycystic ovary syndrome.
There are many treatment options for abnormal vaginal bleeding that are available to you. Many are given in outpatient settings and others are short stay hospital treatment methods. The popular and effective options for intractable menstrual problems include the Mirena® Intrauterine system, the Microwave Endometrial Ablation and Thermachoice. Of course when necessary we will perform a hysterectomy for you. For more information on the hysterectomy procedure read more here (opens a new window).