Few words by our radiologist:
USG is the investigation of choice for diagnosing the cause of abnormal uterine bleeding. Ultrasonography can diagnose conditions like fibroids, polyps, endometrial hyperplasia & ovarian pathology. Sometimes specialised tests like MRI are required to diagnose conditions like adenomyoses. MRI may also be used to better differentiate between cancerous and non cancerous lesions and to know extent of disease.
The Treatment depends on the age group, reproductive status (number of children) and personal choices of individual patients. If a woman is affected by abnormal uterine bleeding, she should visit a gynaecologist and seek specialist advice. Always remember self medication is dangerous.
Hormonal disturbances occur due to less or excess of one or more hormones. These may include estrogen, progesterone, thyroid hormones, prolactin and a few others. These disorders are fairly common in outpatient practice and women may present with heavy, long or irregular periods.
Cancer and precancerous disorders:
Fortunately these conditions are less frequent causes of abnormal uterine bleeding. These cases may be suspected in women who have risk factors like obesity hypertension and hyperestrogenic disorders like PCOS who present with heavy or irregular menses. These cases need early and careful evaluation and treatment.
This condition causes the uterus to enlarge in size. Women affected by this disorder present with dysmenorrhea (painful menses) with / without heavy menses.
This consists of a part of the uterine lining that projects into the uterine cavity. This lesion may produce heavy regular menses or irregular menses. A polyp may continue growing in size and length and may reach outside the uterine cavity. If a polyp comes outside the uterus, it may cause vaginal discharge or post coital bleeding.
These are solid benign ball-like masses within the uterus which enlarge the uterine size and may affect its shape. It is estimated that about 20% women above 30 years of age have fibroid(s) in their uterus but only about 3-5% are symptomatic. Fibroids often cause heavy bleeding (menorrhagia) associated with / without pain. There may be an associated feeling of heaviness in the pelvis.
Abnormal Menstrual Bleeding
A menstrual period is the monthly shedding of the inner lining of the uterus. A menstrual period may be uncomfortable and sometimes inconvenient, but it is the female body’s way of telling that her reproductive system is working properly. Every woman’s period is unique and there are wide variations between different women and also within the same woman.
A normal menstrual period lasts for 3-5 days and comes once every 28 days. There are wide variations in what is considered normal. Abnormal menstrual bleeding can be of different types but the most troubling of them all is ‘heavy menses’. As you read further, we will go in detail of some of the common causes of heavy menses.
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Infertility centre in Goa
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