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• Abnormal Vaginal Bleeding
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• Urinary Incontinence
• Pelvic Organ / Vaginal Prolapse
• Suburethral Sling (TVT)
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Irregularities of the menstrual cycle are very common. Dysfunctional bleeding from the uterus can be described as follows:

Dysmenorrhea – painful periods

Menorrhagia - Prolonged (>7 d) or excessive (>80 mL daily) uterine bleeding occurring at regular intervals

Metrorrhagia - Uterine bleeding occurring at irregular and more frequent than normal intervals

Menometrorrhagia - Prolonged or excessive uterine bleeding occurring at irregular and more frequent than normal intervals

Intermenstrual bleeding (spotting) - Uterine bleeding of variable amounts occurring between regular menstrual periods

Polymenorrhea - Uterine bleeding occurring at regular intervals of less than 21 days

Oligomenorrhea - Uterine bleeding occurring at intervals of 35 days to 6 months

Amenorrhea - No uterine bleeding for 6 months or longer

A normal menstrual cycle occurs every 21-35 days with menstruation for 2-7 days. The menstrual cycle occurs from monthly fluctuations in hormones (estrogen and progesterone) that occur as the ovaries release an egg on a monthly basis. If pregnancy does not occur, the hormonal fluctuations cause the endometrial lining of the uterus to shed. This results in menstrual bleeding.

Abnormal periods can occur for many reasons such as thyroid problems, diabetes, obesity, trauma, uterine fibroids, failure to ovulate, uterine (endometrial cancer) etc.

It is very important to establish that the abnormal periods are not due to cancer. Once cancer is excluded, there are many ways to treat your problem. The appropriate treatment is based on identifying the underlying cause(s). Such treatment might include:

Hormonal regulation (birth control pills)

D&C

Hysterectomy

Endometrial ablation www.NovaSure.com

Intrauterine Device (IUD)