How will my heavy period problems be investigated?

How will my heavy period problems be investigated?

It is usual for your doctor to record the details of your problems and you will probably be examined. The story together with the examination findings may indicate the cause of the problem. A blood count is required to exclude anaemia resulting from the excessive blood loss. Ultrasound of the pelvic organs may be considered. Introducing fluid into the uterus may enhance the accuracy of transvaginal ultrasound. Sometimes a biopsy from the lining of the womb (endometrial biopsy) is taken in the clinic. Frequently, particularly in women aged 40 or more, a D and C and hysteroscopy is performed (hysteroscopy D and C; Q 24.12) when there is no response to medication.

In younger women, particularly if there is a tendency to bruise or bleed easily, tests to check that the blood clotting mechanism is normal may be indicated.

There is no indication for testing the thyroid routinely as part of the investigation of heavy periods. Thyroid function tests should be considered if there is any other suggestion of possible clinical thyroid disorder. Hypothyroidism (underactive thyroid) is more likely to be associated with heavy periods than hyperthyroidism (overactive thyroid). Picture charts of menstrual loss have been helpful but the newer absorbent sanitary wear has decreased their value.

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