Hysterectomy: When the other measures fail, removing the uterus may be the only way to completely stop menstrual bleeding. Once inserted inside the uterus, it releases small amounts of hormones which eventually thin the endometrium and reduce the menstrual flow.Įndometrial Ablation: surgical procedure to destroy the endometrium preventing its monthly growth and shedding thus reducing the menstrual flow. Levonorgestrel IUD: Mirena is the brand name of an intrauterine device that contains a progesterone like hormone. Hormonal medication: these contain either oestrogen or progesterone or a combination of both and can be taken as tablets or injections. There are four main groups of treatment for abnormal uterine bleeding depending on the cause: About 50% of women with excessive menstrual bleeding have DUB. When none of these are present and there does not seem to be a defined cause for the bleeding, the diagnosis is Dysfunctional Uterine Bleeding or DUB. These include benign uterine growths such as fibroids or endometrial polyps, cancer of the uterus and hormonal problems. There are several reasons why a woman has increased menstrual flow. When there is no pregnancy, the endometrial cells die and shed, exposing the uterine vessels and starting the menstrual flow. The number of cells and blood vessels increase over the cycle, in preparation for the implantation of the fertilised embryo. The endometrial cells have a monthly cycle of growth and collapse which is stimulated by the ovarian hormones. The endometrium is the layer of tissue inside the uterus. Endometrial ablation is a minimally invasive procedure done to remove the lining of the uterine cavity called Endometrium.Įndometrial ablation is performed to treat Menorrhagia (menstrual periods with abnormally heavy or prolonged bleeding).
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