Abnormal and Heavy Bleeding
Dr Danie Schneider
Obstetrician and Gynaecologist, Somerset West

Abnormal and Heavy Bleeding

Heavy bleeding (menorrhagia) is one of the most common gynaecological problems: it affects one out of every five women. Many women do not know that they can get help for menorrhagia, others do not ask for help because they are embarrassed, while others are treated symptomatically and do not realise that they can schedule an appointment with a gynaecologist to have a thorough check-up in order to get to the root of the problem and be fully cured.

Did you know…?

  • Untreated heavy or prolonged bleeding can stop you from living your life to the fullest?
  • Menorrhagia can also cause anaemia, a common blood problem that causes an iron deficiency and leaves you feeling tired, weak and even depressed. Anaemia can also make you more susceptible to infections.

Frequently Asked Questions

How do I know if my bleeding is abnormal?

  • Bleeding is abnormal in the following situations:
  • Bleeding between periods
  • Bleeding after sex
  • Spotting any time in the menstrual cycle
  • Bleeding heavily or for more days than usual
  • Bleeding after menopause
  • Menstrual cycles that are longer than 35 or shorter than 21 days
  • Lack of periods for three to six months
  • Heavy blood flow during your periods might be a sign of a bleeding disorder that stops your blood from clotting properly
  • If you experience any of the above symptoms, you should make an appointment with us.

What kind of treatment is available?

Gynaecologists are fully trained to do the appropriate tests to diagnose the cause of your bleeding. During the consultation Dr Schneider will focus on the cause of your bleeding and consider aspects such as your age, general health and medical history, how you respond to certain medicines and your fertility wishes. Treatment options include various drugs to correct any hormonal imbalances, as well as reduce pain and limit blood loss. Iron supplements, anti-inflammatories, birth control pills, intra- uterine devices, hormone therapy, and drugs that promote blood clotting are some of the available options.

Dr Schneider is trained to do numerous non-invasive surgical procedures as day case surgery. These procedures will help to diagnose and treat the cause of your bleeding simultaneously, so that you can return to your normal activities. Operative hysteroscopy with the removal of polyps or fibroids and endometrial ablation to treat the lining of the womb and limit bleeding are two of these surgical procedures. There is also the option of a hysterectomy.