Additional Wellness Services

 

A normal menstrual cycle is typically every 28 days with a period lasting from 4-7 days in length. The flow may vary from being light to heavy. There may or may not be menstrual cramping or pain. Usually Tylenol, Motrin/Advil or Aleve helps alleviate the pain.

 

However, sometimes women may experience very heavy bleeding (menorrhagia), painful periods (dysmenorrheal), irregular menstrual cycles (not every 28 days), infrequent or light periods (oligomenorrhea) or no periods at all (amenorrhea). Women may experience this for several months.

 

Reasons for abnormal bleeding may be due to the following

  • Uterus Issue: Infections of the uterus; Growth or a fibroid; Polyps (growths in the lining of your uterus); adenomysosis (lining of your uterus grows into the wall of your uterus.)
  • Issues with ovulation: Ovulation may not be occurring; hormone imbalance
  • Ovarian issues: Growths such as cysts; hormone imbalance;
  • Metabolic /Hormonal issues: Endometriosis; Polycystic Ovarian Syndrome; Insulin Resistance; Thyroid Disorders

If you are concerned and do have abnormal bleeding problems, come in for an evaluation. Common diagnostic testing include pelvic ultrasound, endometrial biopsy, hysteroscopy, and laparoscopy. Most cases of abnormal bleeding can be treated in the office. Surgery is infrequently necessary, but can be used in severe cases. (See hysteroscopic thermal endometrial ablation.)

 

Pelvic Ultrasound

Ultrasound imaging which is also called ultrasound scanning or sonography, involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Ultrasound images are captured in real-time which show the structure and movement of the body’s internal organs, as well as blood flowing through blood vessels.

A pelvic ultrasound provides pictures of the structures and organs in the lower abdomen or pelvis. Pelvic ultrasounds are done either abdominally or transvaginally. In our office, we do pelvic ultrasounds to evaluate:

  • bladder
  • ovaries
  • uterus
  • cervix
  • fllopian tubes

Endometrial Biopsy

If you are over 35 years of age and having abnormal bleeding, an endometrial biopsy may be performed . An endometrial biopsy is a procedure in which a tissue sample from the lining of uterus (endometrium) is taken and is checked by a pathologist for any abnormal cells or signs of cancer.

Endometrial Biopsy

There is some mild discomfort so it is recommended you take 400-600 mg of Ibuprofen at least 30 minutes before the procedure. It normally takes less than 5 minutes and there is some cramping during and after the procedure.

The results typically take about 7 days and a follow-up appointment will be made to discuss the results.

Hysteroscopy

Hysteroscopy

A hysteroscopy is a method to look at the lining of your uterus. At Total Wellness for Women, we use a thin viewing tool called a hysteroscope. The tip of the hysteroscope is inserted into your vagina, through your cervix and into your uterus. The hysteroscope has a light and a camera so the doctor can see your endometrium.

This may be used to find the reason for your abnormal bleeding, reasons for infertility, and also may be used to remove growths in the uterus such as fibroids or polyps.

 

Laparoscopy

Laparoscopy

Laparoscopy is a surgery that uses a thin, lighted tube that is inserted through a small incision in your abdomen to look at the abdominal organs or pelvis. This is used to find such problems such as cysts, adhesions, or fibroids, endometriosis, ectopic pregnancy and infection. Biopsies can be made through the laparoscope. Sterilization procedures can also be performed through the lapascope.

 

Hysteroscopic Endometrial Thermal Ablation

Hysteroscopic Endometrial Thermal Ablation

Endometrial Ablation is a procedure that uses a lighted viewing instrument called a hysteroscope and other instruments to destroy or ablate the uterine lining (endometrium). This procedure is usually done as an outpatient procedure in a hospital under general anesthesia to treat bleeding disorders of the uterus.

At Total Wellness for Women, we perform a technique called NovaSure which delivers 90 seconds of precisely controlled radio frequency energy through a thin handheld wand to remove (ablate) the lining of the uterus. This procedure is quick and easy. IT does not require incisions and can be done in less than 5 minutes. Patients go home the same day and usually can return to work within 1-2 days. www.novasure.com