Period Problems

We understand how menstrual problems can really interfere with your quality of life. At the Surrey Park Clinic we have years of experience in dealing with these conditions and treating them effectively to bring welcome relief.

Normally a period occurs approximately every 28 days as part of the monthly menstrual cycle. Periods usually start from the age of 12 yrs, and continue until the menopause at approximately 45 – 55 years. Menstrual problems include, PMS, heavy periods and bleeding, irregular and painful periods.

Heavy bleeding (known as menorrhagia)

This can occur with or without other symptoms including period pain (dysmenorrhoea). It is a common problem but can lead to anaemia, affect self confidence and overall quality of life. There maybe many causes including problems within the uterus, ovaries or hormone production.

Period problems

Causes of Period Problems

  • Polyps – Disorders of the lining of the uterus such as polyps, or a thickened lining, can contribute to heavy bleeding and cramps. It can also indicate something more serious and should always be investigated especially:
    • if greater than 35 years of age
    • where periods have been irregular
    • past history of PCOS
    • use of hormones
  • Enlargement of the uterus – This can occur naturally as the uterus is made up of muscle which is constantly contracting.
  • Fibroids – These are small or large benign (non-cancerous) growths usually in the muscle of the uterus. Fibroid polyps can project into the uterus preventing proper closure of the uterus and can cause pain, discomfort and heavy bleeding.
  • Myosis – Fragments of the endometrium which is the bleeding layer of the uterus, away.
  • Endometriosis – The womb lining attaches to other organs including the pelvis, stomach and bowel.
  • Polycystic ovaries are sometimes associated with increased blood loss.
  • Cancer of the womb (a very rare condition)

Other causes

  • Coil – Following insertion of a coil, blood loss may increase by approximately 50%.
  • Hypothyroidism – An under-active thyroid gland is sometimes linked to heavy periods.
  • Liver or renal disease
phone
At the Surrey Park Clinic, we are specialists in the diagnosis and treatment of Period Problems and offer personalised care at our welcoming clinic at a time to suit you.
Please call 01483 454 016 to arrange your consultation.

Diagnosis

A medical history will be taken in order to identify the possible causes of heavy bleeding. Details relating to length of period, how regular they are, whether there is any bleeding between periods and/or after sexual intercourse, and whether there is a family history of any diseases which may affect blood clotting, will be discussed.

Some of these tests may be required depending on your symptoms:

  • Pelvic examination will indicate whether there are any abnormalities.
  • Ultrasound scan Usually an internal scan (transvaginal) which will be able to detect the presence of polyps and fibroids.
  • Biopsy of the uterus This is done if periods are irregular or the lining is thickened.
  • Blood test Tumour Marker CA125
  • Hysteroscopy
  • Laparoscopy

Treatments

Non-surgical Treatments

  • Mirena coil (hormone/progesterone) – A small plastic device placed in your womb which slowly releases the hormone progestogen, and prevents the lining of the womb thickening. It is also a form of contraception.
  • Progesterone tablets – suppress bleeding and correct hormone imbalance.
  • Tranexamic acid tablets – help the blood to clot in the womb, and can reduce blood loss by up to 50%.
  • Non-steroidal anti-inflammatory drugs (NSAIDs) tablets – reduce production of prostaglandin (linked to heavy periods).
  • Combined oral contraceptive pill – regulates the menstrual cycle and reduces menstrual pain.

Surgical Treatments

  • Endometrial Ablation – an outpatient procedure to reduce excessive menstrual bleeding. Unlike hysterectomy, which takes out the entire uterus, the procedure just destroys the lining of the uterus by the use of heat.
  • TCRE – (Transcervical resection of the endometrium). This procedure is used to treat very heavy bleeding which involves removing the lining of the womb.
  • Myomectomy – removal of uterine fibroids. The uterus, cervix, fallopian tubes, ovaries and vagina all remain intact. The operation is performed under a general anaesthetic and the time taken will depend on the number and size of the fibroids to be removed but is usually 1-2 hours. There is a small chance that a hysterectomy may be needed if any bleeding cannot be stopped.
  • Hysterectomy – This procedure completely removes the uterus and is a cure for excessive bleeding. It is major surgery which is performed under general anaesthestic. Several days in hospital and up to six weeks recovery are most common. A hysterectomy can be performed abdominally, vaginally or laparoscopically (keyhole surgery). Hysterectomy may involve removal of either or both ovaries. This is likely to be the case if there is a problem with the ovaries, or if the woman is approaching or has already been through the menopause.For women who have not reached menopausal age, it is more usual to leave the ovaries in place, if they are healthy. If the ovaries are suddenly removed from a woman who has not reached the menopause, she is likely to start to experience menopausal symptoms unless the hormones are replaced artificially, i.e. by hormone replacement therapy (HRT) or an alternative therapy.

Other Treatments

  • Fibroid Embolisation – This procedure is non-surgical and is the closing off of blood vessels supplying uterine fibroids. The fibroid is deprived of blood and then shrinks.

Related topics PCOS, Coils & MirenaMenopause Clinic & HRT, Endometrial Ablation, Blood Tests



We can help to resolve painful and problem periods

At the Surrey Park Clinic we specialise in the treatment of problem periods. Our private clinic is comfortable, discreet and easily accessible from the A3. Why not book a consultation and put your period problems behind you.
Simply call 01483 454 016 or complete our enquiry form: