Normal menstrual periods typically last about five to seven days, resulting a predictable flow from start to finish, and usually occur about every 28 days. Bleeding that is significantly outside those ranges – including spotting between periods, prolonged periods, missed periods and extremely heavy bleeding – qualifies as abnormal vaginal bleeding and requires an evaluation by your doctor.
Abnormal bleeding can be caused by many factors. Some of the most common include:
puberty and menopause
endometriosis, a condition that occurs when cells that are normally found inside the uterus begin to grow outside the uterus
tumors, polyps, fibroids or cysts
adhesions (scar tissue)
polycystic ovary syndrome (PCOS)
a change in birth control methods
severe or chronic stress
significant changes in weight
excessive physical activity and exercise
Before any treatment is implemented, Dr. Louis-Jacques will perform a comprehensive exam and evaluation to determine the underlying cause of your bleeding so she can prescribe the best type of treatment. Treatment options include:
changing your birth control method, including removal of an IUD
hormonal treatments for women with PCOS and other conditions
ablation to treat menorrhagia, a condition that causes heavy bleeding and occurs in menopausal women
surgery to remove fibroids or adhesions or to treat endometriosis
lifestyle changes such as losing weight
Dr. Louis-Jacques is skilled in identifying the causes of abnormal bleeding, using a wide array of techniques to determine potential issues, including internal exams using advanced techniques like hysteroscopy or colposcopy to evaluate your uterus and cervix, lab work and diagnostic imaging including ultrasound and CT scans.
We accept most PPO plans. Please contact our office if you have any questions.
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