Gynaecology
Abnormal uterine bleeding
Heavy or prolonged bleeding is investigated, not simply treated with tablets each cycle.
Abnormal uterine bleeding
Abnormal Uterine Bleeding
Heavy, prolonged or irregular bleeding is one of the commonest reasons women see a gynaecologist. At Sradha Women Care the underlying cause is looked for at the first visit and the treatment is chosen for what is found.
Diagnosis of underlying cause
Pathological cause / Hormonal imbalance.
Investigation
- Diagnosis of underlying cause – Pathological cause / Hormonal imbalance
- Ultrasound Pelvis
- Blood Investigations
Common causes
- Menstrual Irregularities
- Fibroids
- Endometriosis, Adenomyosis
- Endometrial Hyperplasia, Endometrial Polyps
- Hormonal imbalance including PCOS and thyroid disease
Treatment
Options
- Hormonal Treatment
- Endometrial Biopsy / Endometrial Curettage
- Hysteroscopic Guided Endometrial Biopsy
- Mirena Insertion
- Surgical Intervention
Surgical intervention
From day care procedures to laparoscopic surgery, the option chosen is the least that will work.
Procedures
- Dilatation & Curettage
- Endometrial Biopsy
- Laparoscopic Myomectomy – removal of fibroids
- Total Laparoscopic Hysterectomy / Vaginal Hysterectomy where genuinely indicated
In summary
Bleeding after menopause
Any bleeding a year or more after periods stopped is assessed urgently, with an ultrasound and, if the lining is thickened, a sample taken — because early diagnosis matters. Most causes turn out to be benign, but the check must be done.
Included in this care
- Haemoglobin checked at the same visit
- Pelvic ultrasound for fibroids, adenomyosis and endometrial thickness
- Endometrial sampling where the age or findings require it
- Hysteroscopy for polyps, submucous fibroids and septa
- Medical management first where it is appropriate
- Surgery only where medical treatment has failed or is unsuitable
When to come in
- Bleeding beyond seven days, or soaking a pad an hour
- Bleeding between periods, or after intercourse
- Any bleeding a year or more after periods stopped
- Tiredness or breathlessness with heavy periods
If any of these apply, book a visit rather than waiting for the next routine check.
Related gynaecology services
PCOS / PCOD
A diagnosis of exclusion, made on cycle history, hyperandrogenism and ovarian morphology once other causes are ruled out.
Fertility treatment
Both partners are evaluated before any treatment is offered, and follicular tracking is done in the clinic.
Well-woman checkup
A planned review rather than a symptom visit, with screening appropriate to your age and history.