What could be the cause of my menstrual problems?

• In at least 50% of patients with menstrual disorders, including heavy periods and bleeding between periods, there is no obvious explanation; we call this dysfunctional uterine bleeding. Furthermore, the fact that fibroids, for example are found in a patient with heavy periods, does not prove that the fibroids are the cause of the problem. The periods may be heavy even if the fibroids were not present (Q4.3). The same would be equally true for other abnormalities including endometriosis.
• Fibroids (14).
• Endometriosis(Q 23.18) is a condition where tissue similar to the endometrium (lining of the womb) is found in other sites usually around the pelvic area.
• Adenomyosis (sometimes called internal endometriosis) is a condition where endometrial-type (lining of the womb) tissue can be found in the muscle wall of the uterus. When there is adenomyosis, the uterus is enlarged and may be tender. Ultrasound may suggest adenomyosis but the diagnosis can only be confirmed when the uterus is examined following hysterectomy.
• Pelvic inflammatory disease (Q 20.2).
• Conventional intra-uterine contraceptive devices - IUCDs (Q17.1).
• Endometrial polyps (a polyp is like a skin-tag;Figure 24.1).
• Occasionally, the development of the uterus may have been abnormal (congenital uterine abnormalityQ6.5).
• There is some evidence that adiposity increase the incidence of heavy periods and the need for hysterectomy and adiposity is increasing.0801

  

Related Medical Abstracts - Click on the paper title:-

• Is adiposity across life associated with subsequent hysterectomy risk? Findings from the 1946 British birth cohort study.(2008-01)
• Sterility of the uterine cavity. (1995)

Please click on the required question.

• 1 Are heavy periods a common problem?
• 2 What is in my menstrual flow?
• 3 What range of menstrual cycle length is considered to be normal?
• 4 How can menstrual blood loss be measured?
• 5 How can I tell if my periods are abnormally heavy?
• 6 What could be the cause of my very heavy menstrual periods?
• 7 I have been sterilised. Could this be the cause of my heavy periods?
• 8 Should I have tests to find the reason for my heavy periods?
• 9 How will my heavy period problems be investigated?
• 10 What is meant by anaemia due to heavy periods?
• 11 What is intermenstrual bleeding?
• 12 What is a hysteroscopy and D and C?
• 13 What is cervical cautery?
• 14 What happens after the D and C?
• 15 What treatments are available for my heavy periods?
• 16 What are the medical treatments available for heavy periods?
• 17 How do the various medical treatments for heavy periods work?
• 18 What would be reasonable initial treatment for a teenager or young woman with heavy periods?
• 19 What is a hysterectomy?
• 20 What are the indications for hysterectomy?
• 21 What are the risks (complications) of hysterectomy?
• 22 What is vault granulation?
• 23 What are the different types of hysterectomy?
• 24 Is it essential to remove the neck of the womb at hysterectomy?
• 25 Should my ovaries be removed or conserved during hysterectomy?
• 26 How long will I be in hospital when I have my hysterectomy?
• 27 I have had a hysterectomy. Do I still need to have smear tests?
• 28 What are the other surgical alternatives to hysterectomy?
• 29 How do endometrial ablation and hysterectomy compare?
• 30 Are there any psychological effects following hysterectomy?
• 31 How do we decide the best treatment for my period problems?
• 32 Could I have some recommended hysterectomy support groups?
• 33 Are there any support groups?
• Intermenstrual Bleeding - Bleeding between periods.

Thank you for choosing to visit us.

This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.

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