You will be given a thirty minute appointment with one of our specialist consultants.
A full history will be taken and you will be given the opportunity to discuss all your concerns. We will then arrange appropriate investigations and help you to choose the right treatment for you.
There are a number of different problems women may have with their periods. Most commonly they can be:
- Too heavy
In the UK, the average age for a girl to have her first period is 12 years. The majority of women will bleed for approximately 5 days every 28 days.
There are many reasons why problems could occur including lifestyle issues (stress and weight change), other illnesses (for example, thyroid problems) as well as gynaecological problems (polyps / fibroids / ovarian cysts / endometriosis).
The investigation of period problems usually include:
- A detailed history
- Vaginal swabs
- Pelvic ultrasound
- Blood tests
Once the results are available no treatment may be necessary or treatments may be offered to give symptom control.
Pain can be controlled with simple anti-inflammatories such as Ibuprofen and Mefenamic acid.
Heavy periods may be helped by antifibrinolytics such as Tranexamic acid.
The oral contraceptive pill or other hormonal treatment may be used to regulate periods.
The Mirena coil may also prove extremely helpful.
If an abnormality is found then it may be necessary to carry out exploratory surgery in the form of a hysteroscopy.
A hysteroscopy may be performed under local anaesthetic and involves putting a telescope into the cavity of the womb to examine it more closely. Some treatments such as Myosure may also be used to remove polyps or small fibroids. Novasure to ablate the lining of the womb may be extremely effective.
Treatment very much depends on the cause of the problem.
Once all the results of your investigations are back we will discuss all the treatment options with you and help you to choose the best treatment option for you.