Heavy Menstrual Bleeding Specialist

What causes heavy menstrual bleeding?

Also known as menorrhagia, heavy menstrual bleeding is more than the occasional increased period. The unusually prolonged or heavy bleeding can derive from a variety of factors such as hormonal changes, noncancerous growths are known as uterine fibroids or polyps, as a side effect of contraception,  or adenomyosis, when tissue lining the uterus invades the surrounding muscle walls as you age. Uterine cancer is the most serious but rare cause of heavy menstrual bleeding.

How is it diagnosed?

Because heavy menstrual bleeding derives from other conditions, management relies on determining the cause. To do so, Drs. Dvorak or Kupferman will first explore your medical history and conduct a medical exam, which often includes an ultrasound and blood tests. If she is concerned about cancer, they will also conduct a biopsy using tissue from your uterus lining.

Note: If you ever experience bleeding following menopause, contact Drs. Kupferman or Dvorak immediately, to rule out cancer.

How is heavy menstrual bleeding treated?

Once the doctor has determined the cause of your symptoms, she will recommend appropriate treatment. Symptoms triggered by hormonal issues are often controlled with medication. If fibroids or polyps are the cause, you may require surgery to remove the growths. Two surgical options, hysteroscopy, and endometrial ablation, are outpatient procedures that typically cause very little pain and from which women recover quickly.

How can I prepare for my appointment?

To make the most of your exam, inquire about any pre-appointment instructions beforehand. Jotting down your symptoms, including the severity and frequency, in advance can also help. Be prepared to discuss your medical history and any medications you’re currently taking with the doctor as well. Scheduling regular gynecological exams can help catch problems before they become more severe. Drs. Kupferman and Dvorak are your partners in maintaining good health and will help each woman find the best treatment plan.

Click here to read Dr. Dvorak talk about heavy menstrual bleeding.