The Problem of Heavy or Irregular Menstrual Bleeding – Part 2

April 8, 2019 | By Larry Gurley, MD


Diagnosis (to determine treatment options)

Before a treatment plan can be chosen, the cause of the heavy bleeding must be found. At the Nashville Gynecology Center, hysteroscopy is the preferred technique to find out whether a polyp or internal fibroid is present. This procedure can be done in the Ambulatory Surgery Center within the Nashville Gynecology Center office suite with local anesthesia, or in the outpatient operating rooms of a hospital under general anesthesia. A hysteroscopic examination has advantages over a D&C (dilation and curettage) only, as the hysteroscopic examination allows the uterine lining to be seen rather than blindly sampled. A narrow telescope is used to inspect the lining of the uterus. If a fibroid or polyp is found, the follow-up treatment plan can be arranged.