Heavy Menstrual Periods: Why 'Wait and See' Isn't Always Best
Heavy menstrual periods, also known as menorrhagia, are a common concern for many women. Dr. Beth Y. Karlan, the physician leading the Fibroid and Menstrual Disorders Center at the Cleveland Clinic, advises that a 'wait and see' approach to heavier periods can be risky, regardless of age. It's crucial to understand the potential underlying causes and seek medical attention.
Heavy menstrual flow can have various causes, ranging from fibroids and infections to thyroid problems and even cancer. Dr. Karlan suggests that a noticeable increase in menstrual flow over a few months or ongoing irregular periods should be evaluated by a doctor. Birth control pills and Lysteda, a non-hormonal medication, can help lighten or stop menstrual flow. However, a specialized transvaginal ultrasound, also called saline infusion sonography, is often essential for a complete exam.
Every woman is unique, and the best course of action for heavy periods depends on individual preferences and health status. Dr. Karlan reassures that a hysterectomy is not the only option. Minor surgery or medications, including endometrial ablation, may be used instead. However, endometrial ablation is not typically recommended for women who may want to have children in the future.
Heavy menstrual periods should not be ignored. Women should track their periods and know what's normal for them. If there's a noticeable change or irregularity, it's essential to consult a healthcare provider. Dr. Beth Y. Karlan and her team at the Cleveland Clinic are dedicated to helping women manage and understand their menstrual health.
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