Heavy bleeding -Endometriosis

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by topiramate1 on Mon May 04, 2020 8:13 pm

Heavy bleeding -Endometriosis

I am 35 and have endometriosis and multiple fibroids on the womb. I go through one thick/large towel/ pad every hour for the first four days of the period- is there anything I can do to reduce/slow the bleeding down?

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Karolina Afors
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by Karolina Afors on Thu May 07, 2020 10:55 am

Re: Heavy bleeding -Endometriosis

Thank you for posting. Unfortunately heavy periods are quite common and can really impact on daily living and effect our quality of life.

Heavy periods can occur for a variety of reasons:

1) This may be due to non-cancerous abnormal tissue within the uterus.
- The most common of these are polyps which are small little growths of the lining of the uterus.
- Equally fibroids found within the lining of the womb can also cause these symptoms.
- Adenomyosis, (which often co exists with endometriosis in up to 50% of cases) where uterine lining tissue grows into the muscular wall of the uterus can often lead to heavy and painful periods.

2) It can reflect disruption in the normal cyclical pattern of your periods.

A pelvic ultrasound scan can help determine the cause of bleeding and can detect fibroids, polyps and adenomyosis. Fibroids and polyps can be treated by removing them using a small camera (called a hysteroscope) that passes through the cervix allowing the lining fo the womb to be assessed and a polyp or fibroid removed. In some instances in view of your history of multiple fibroids a myomectomy (surgical removal of fibroids) may be indicated.

Non hormonal treatment such as transexamic acid taken during the first 4 days of your periods can help reduce the bleeding. Alternatively oral contraceptives such as the combined or progesterone only pill can help reestablish predictable bleeding patterns and decrease menstrual flow.
Hormonal intrauterine device such as the mirena coil has also proven to be particularly effective in reducing menstrual blood flow and can also help reduce any associated pain. The most common side effect is normally irregular bleeding or spotting, which normally improves after the first few months.
Karolina Afors
Consultant Obstetrician and Gynaecologist - BSc MBBS MRCOG

http://www.talkhealthpartnership.com/on ... _afors.php

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