Abnormal Bleeding

You may wonder if your period is normal or not. While your cycle may vary a bit each month and change with age, abnormal bleeding should be examined and treated if you’re experiencing any of the following symptoms:

• Menstrual cycle lasting less than 21 days or more than 35 days, measured from the first day of bleeding to the next occurrence of bleeding.
• Bleeding that lasts longer than seven days.
• Heavy bleeding or passing large clots (needing to change protection during the night, soaking through a pad or tampon every hour for 2-3 hours in a row).
• Severe cramps, especially sudden onset cramps.
• Bleeding or spotting between periods.
• Bleeding after intercourse.
• Bleeding after menopause.

For one in five women, heavy bleeding interferes with their lives. The most common cause – an excess of uterine lining – is easily treated with a procedure called endometrial ablation. If you have completed your family, you might be a good candidate.

How We Treat Abnormal Bleeding

Endometrial Ablation

During endometrial ablation, a special, lighted telescope called a hysteroscope is used to look inside your uterus to achieve a definitive diagnosis for abnormal bleeding. Excess tissue including polyps, fibroids and cancers can be seen with this instrument. 

Endometrial ablation burns excess uterine lining (endometrium) and eliminates heavy periods. This is not a surgical procedure, so you will not have an incision.  

We use several types of ablation techniques, including medical/hormonal management, hysteroscopy/D&C, hysterectomy, and potentially other options, depending on the cause of bleeding. We will discuss options with you and recommend the best approach for your particular needs.