- In at least 50% of patients with menstrual disorders, including heavy periods and bleeding between periods, there is no obvious explanation; we call this dysfunctional uterine bleeding. Furthermore, the fact that fibroids, for example are found in a patient with heavy periods, does not prove that the fibroids are the cause of the problem. The periods may be heavy even if the fibroids were not present (Q4.3). The same would be equally true for other abnormalities including endometriosis.
- Fibroids (Q 23.14).
- Endometriosis(Q 23.18) is a condition where tissue similar to the endometrium (lining of the womb) is found in other sites usually around the pelvic area.
- Adenomyosis (sometimes called internal endometriosis) is a condition where endometrial-type (lining of the womb) tissue can be found in the muscle wall of the uterus. When there is adenomyosis, the uterus is enlarged and may be tender. Ultrasound may suggest adenomyosis but the diagnosis can only be confirmed when the uterus is examined following hysterectomy.
- Pelvic inflammatory disease (Q 20.2).
- Conventional intra-uterine contraceptive devices - IUCDs (Q17.1).
- Endometrial polyps (a polyp is like a skin-tag;Figure 24.1).
- Occasionally, the development of the uterus may have been abnormal (congenital uterine abnormalityQ6.5).
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There is some evidence that adiposity increase the incidence of heavy
periods and the need for hysterectomy and adiposity is increasing.0801
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