Dr N offers a full line of services to control heavy periods. When women are adjusting their life, vacations, work schedule and wardrobe around their periods, Dr N suggests they consider therapies to ‘control the bleeding’. There are a wide variety of treatment options available which Dr N will review at a consultation.
Lysteda, a medication taken during menses -
Oral Contraceptives can be taken , in certain patients, up to the age of 50.
Mirena Intrauterine Device- This is inserted in the office, lasts up to 5 years and has a hormone that suppresses the build up of the uterine lining so periods are either lighter or absent. Women of all ages are candidates.
Endometrial Ablation- This is an office based procedure that is carried out under oral sedatives. It is a procedure where the uterine lining is cauterized so that periods are lighter or absent. Patients are back in the main stream of life a day or two after the procedure. No hospitalization required. Excellent insurance coverage. 90% satisfaction rate. Some patients do go on to have hysterectomy if the treatment is not effective.
Hysteroscopy/D and C- If polyps are present in the lining of the uterus, Dr N uses a camera to find what is in the cavity and excise. This is a day procedure and is uterus sparing. It only requires 1 or 2 days off work.
Minimally Invasive Surgeries with partial removal of the uterus or uterus and cervix- Dr N is performing out patient hysterectomy. Procedures have different names but there is Total Vaginal Hysterectomy, Laparoscopic Supracervical Hysterectomy and Laparoscopic Assisted Vaginal Hysterectomy. The Robotic assisted technology allows for more patients to have minimally invasive techniques. Dr N reassures women that they can keep their ovaries so their hormones do not change. If there is a strong family history of cancer , removal of ovaries is also an option. Dr N will discuss this thoroughly. Periods go away 100% of the time and patients require 1-3 weeks off work, depending on the job, the patient and the complexity of surgery. Women love this option!
The important take home is that women have options for managing heavy periods and Dr N would like to discuss these options and choose the treatment that best fits your needs.