Typically, heavy or frequent bleeding can be symptomatic of several different conditions. Whatever is causing the abnormal bleeding will be found within or adjacent to the uterine lining. Our first priority will be to determine the cause for your bleeding which could include endometrial polyps, uterine fibroid tumors, adenomyosis, hormone imbalance, and endometrial hyperplasia. Once a diagnosis is determined, we will decide on the appropriate course of action including any necessary surgical procedure.
Based on results, I may recommend a hysteroscopy, which is primarily a diagnostic procedure that can be performed in an outpatient setting with anesthesia. In some cases, this procedure also solves the bleeding problem. With hysteroscopy, a lighted tube is passed through the cervical canal and into the uterine cavity. The uterine cavity is filled with fluid and the entire uterine cavity can easily be seen. If a lesion is found, it can be removed under direct vision through the hysteroscope.
The diagnosis will be based on a thorough review of the patient’s medical history and a physical exam, which may include a pelvic ultrasound to look for uterine masses and to confirm that the ovaries are normal.
If heavy bleeding continues, I will recommend further treatment which can be managed medically or surgically.
To inquire about diagnosing your condition or managing your uterine bleeding, please contact Dr. Robbins using the form below.