The Problem of Heavy or Irregular Menstrual Bleeding – Part 3

May 1, 2019 | By Larry Gurley, MD

Treatment (To Resolve the Problem)

Polyps, because they can occasionally be cancerous or precancerous, I recommended to be removed. Fibroids inside the uterus associated with abnormal uterine bleeding are also recommended to be removed. Removal of many polyps and some fibroids can be achieved with newer techniques and equipment either under local anesthesia or general anesthesia. If no polyps or uterine lining fibroids are found at the time of hysteroscopy, certain hormone or anti- hormone treatments may be recommended. These include oral progesterone type medications, oral contraceptives pills, and the progestin releasing IUD. If medical treatments are not chosen or not helpful, a minor procedure called ENDOMETRIAL ABLATION can be performed in the office setting. During Endometrial Ablation, the uterine lining is treated, causing the lining to shrink. Eight out of ten treatments are successful and lead to normal or little-to-no bleeding in the future. Endometrial ablation is best when heavy bleeding is the main or only concern. The presence of other pelvic masses or pelvic pain may require consideration of a hysterectomy.