What causes Heavy Bleeding?

• Polyps and fibroids
• Adenomyosis
• Irregular Ovulation: If you do not ovulate on a regular basis, the uterine lining can become too thick. It can also happen in women who have polycystic ovary syndrome or hypothyroidism.
• Bleeding Disorders: Heavy bleeding can occur when blood doesn’t clot properly.
• Medications: Blood thinners and aspirin have been linked to heavy menstrual bleeding. The copper intrauterine device (IUD) can result in heavier menstrual bleeding, particularly during the first year of use.
• Heavy menstrual bleeding can be an early indicator of endometrial cancer. The majority of endometrial cancer cases are diagnosed in postmenopausal women. Other reasons Endometriosis Heavy menstrual bleeding can also be caused by pelvic inflammatory disease.

How to diagnose Heavy Bleeding?

A blood test will be performed. A needle will be used to draw your blood for this test. It will then be examined to rule out anemia, thyroid issues, or problems with the way blood clots.

Pap smear. Cells from your cervix are removed for this test and examined to see if you have an infection, inflammation, or changes in your cells that could be cancerous or cause cancer.

Biopsy of the endometrium. Tissue samples are taken from the inner lining of your uterus, known as the “endometrium,” to determine whether you have cancer or other abnormal cells.

Ultrasound: This is a painless test that uses sound waves and a computer to show the appearance of your blood vessels, tissues, and organs.

Based on the results of these initial tests, the doctor may recommend additional tests, such as a Sonohysterography. This ultrasound scan is performed after fluid is injected into the uterus via a tube through your vagina and cervix. This allows your doctor to look for abnormalities in your uterine lining.

Hysteroscopy. This is a procedure that uses a small tool to examine the inside of the uterus to see if you have fibroids, polyps, or other problems that could cause bleeding.
Curettage and dilation (D&C). This is a procedure (or test) used to identify and treat the cause of bleeding. The inside lining of your uterus is scraped and examined during a D&C to determine what is causing the bleeding.

What is the treatment for heavy bleeding?

Drug Therapy (Iron Supplements, Ibuprofen, Birth Control Pills, Hormone Therapy) or Hormone Therapy Fibrinolytic medications are used to reduce bleeding by preventing clots from breaking down after they have formed.

Surgical Treatment

Dilation and Curettage (D&C), is a procedure that removes the top layer of the uterine lining to reduce menstrual bleeding.

Hysteroscopy: A surgical procedure that uses a special tool to view the inside of the uterus and can be used to help remove polyps and fibroids, correct uterine abnormalities, and remove the uterine lining to manage the heavy menstrual flow.

Endometrial ablation or resection: To control menstrual bleeding, all or part of the uterine lining is removed. While some patients will no longer have menstrual periods, others may continue to have periods but with a lighter flow than before.

Hysterectomy: It entails removing the entire uterus surgically. After undergoing this procedure, a woman no longer has her period.

If you have Period problems Contact Dr. Deepika Doshi one of the top lady gynecologists in Borivali, Mumbai at Dhanvantri hospital.