Abnormal Uterine Bleeding
A menstrual period occurs when the tissue that lines the inside of the uterus, call the endometrium, begins to break down. Most woman find that normal periods are easy to deal other women are not so lucky.
Some women need to use both tampons and pads at the same time, change pads hourly, pass large clots or experiencing flooding, have to change bed sheets, underwear and clothes regularly due to overflow. They may experience extreme fatigue, weakness and shortness of breath. This is not normal.
If your menstrual flow is not easy to control, affecting your quality of life, necessitating you taking time of work or being afraid to leave home it is a problem and worth getting looked at.
HOW I CAN HELP
I will perform a complete assessment to determine the severity of your periods and the effect this is having on you. I will then try to find out the cause of the bleeding and treat the problem to improve your periods and get you feeling normal again.
POSSIBLE CAUSE MAY INCLUDE:
Hormonal: Disturbances of hormonal secretion in the body can cause an abnormal build up of the lining of the uterus which then breaks down leading to heavy menstrual loss. Common example is PCOS or even thyroid disease.
Uterine Fibroids: non-cancerous, smooth muscle tumours of the uterus.
Uterine / Endometrial polyps:
Uterine / Endometrial polyps: non-cancerous growths of the lining of the uterus.
Adenomyosis: growth of endometrium / endometriosis in the wall of the uterus.
Rare causes include conditions such as endometrial hyperplasia (abnormal overgrowth of the lining of the uterus), cancer of the uterus, bleeding disorders or the use of certain medications.
INVESTIGATIONS MAY INCLUDE:
Pelvic examination: to assess the size of the uterus. Pap smear and swabs may be done at the same time.
Bloods tests: to help assess the severity and effect the bleeding is having on you.
Pelvic ultrasound: to assess the lining of the uterus and detect possible causes.
Endometrial biopsy: A quick and easy way of collecting a small sample of tissue of the lining of the uterus by passing a device though the cervix. This is done in the rooms.
Hysteroscopy and curettage:
Hysteroscopy and curettage: procedure to look inside the uterus using a thin telescope. At the time of hysteroscopy a sample of the cells that line the uterus can be taken allowing full examination of the lining of the uterus.
There are many potential options for treatment and treatment will be individualised to you – depending of the cause and severity of bleeding, your overall health status, age, family and work commitments, desire for further children and stage of life.
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THINGS TO DO NEXT:
You will need a referral form your GP to come and see me, so do this first
- Ensure either you or your GP send your referral and any relevant test through to me first
- This can be done by either scanning and e-mailing to email@example.com or faxing to 8361 8877
Make an appointment to see me
Complete the patient forms
- To help provide me with information necessary for your first visit, please fill in the patient information forms (see here – link patient forms).
MAKE SURE YOU BRING
When you come in for your appointment make sure your bring:
- Referral form – If you don’t have one, call the day prior and we will try and arrange a copy from your GP.
- Any test results you might already have.
- Any imaging your might already have.
- A list of all the medicines you are taking, including the ones you have bought without a prescription.
- Your Medicare card.
- Your private health insurance information.
EMERGENCY AND AFTER HOURS
Our clinic hours: Monday to Friday, 9am to 5pm
If you are one of my patients and need emergency care or have a medical concern, please contact delivery suite at the Calvary North Adelaide Hospital: (08) 8239 9154
Alternatively dial an ambulance to be taken to the nearest emergency department.
Get in Touch
I am located at:
Calvary Hospital – North Adelaide
89 Strangways Terrace, North Adelaide SA 5006
Clinic Hours: Monday to Friday, 9am to 5pm
Dial an ambulance to be taken to the nearest emergency department.