Abnormal Bleeding / Menstrual
At Esplanade Women’s Care, we commonly see patients for abnormal bleeding. One out of every five women can expect to have abnormal bleeding at some point in their life. We advise a patient to obtain medical consultation if she is having her period more frequently than every 21 days or if an individual period lasts more than eight days. Also, she should seek consultation if she experiences clots, flooding, and extremely heavy flow with two or more consecutive periods.
Excessive bleeding can sometimes take a toll on a women’s family, social, and business lives. Sadly, up to 80% of women suffering with abnormal menstrual bleeding don’t seek help for the problem. Fortunately there are numerous choices for treatment that are available today from Dr. Raleigh Unterseher at Esplanade Women’s Care.
Hormone imbalances can result in erratic and missed periods and can often be addressed with medication. Frequently Dr. Unterseher will prescribe a short course of Provera or for those wanting birth control, initiate oral contraceptive pills as a safe and effective management strategy. For those who shouldn’t take hormonal therapies, a new, non-hormonal medication called Lysteda can be prescribed.
After obtaining a medical history and performing a physical examination, Dr. Unterseher may determine that additional testing is necessary to obtain a proper diagnosis. At Esplanade Women’s Care, Dr. Unterseher can perform an in-office ultrasound with state-of-the-art equipment to quickly determine the presence of uterine abnormalities like polyps and fibroids.
If a surgical option is deemed appropriate, Dr. Unterseher may request that an office endometrial biopsy be performed. Dr. Unterseher uses the latest techniques to make the endometrial biopsy procedure as pain free as possible.
Endometrial ablation is often recommended as a treatment for women suffering with abnormal bleeding who have completed childbearing. The procedure can be expected to eliminate or improve a patient’s abnormal bleeding up to 90% of the time. The procedure is short and the recovery is fast. If Dr. Unterseher performs the procedure on a Friday, most patients are able to return to work on Monday.
Sometimes, Dr. Unterseher will determine that the best treatment for a patient’s bleeding problem is to have a hysterectomy. This is far less common than it has been in the past given the success of medical treatments and endometrial ablation. The patient’s ovaries are most often spared so the concern of having to take hormone therapy after hysterectomy is eliminated. Dr. Unterseher is proud to have offered his patients minimally invasive hysterectomy options since the early 1990’s. With the modern minimally invasive hysterectomy that Dr. Unterseher performs, a patient can be expected to go home within hours of her hysterectomy or after a short overnight stay. She may be able to return to work in as early as two weeks instead of the typical 4 to 6 weeks’ time.