This page is intended to be used as a guide of general nature, having regard to general circumstances. The information presented should not be relied on as a substitute for medical advice, independent judgement or proper assessment by a doctor. This information reflects the information available at the time of its preparation
Heavy Menstrual Bleeding (HMB) is the most common problem Dr Waterham sees. It can affect 30% of the female population at some time in reproductive life. There are many good medical (non-surgical) and surgical treatments available allowing women to get on and lead a productive life. Don’t delay seeking advice as heavy periods are NOT something you have to put up with.
Fibroids are benign growth that originates from one cell in the uterus which multiples rapidly. Some fibroids can grow very large and cause significant pain, discomfort and heavy bleeding. Fibroids are very common with an increasing prevalence in middle age and older women. Some fibroids will need to be removed surgically sometimes as part of a hysterectomy. Some fibroids are small and do not cause symptoms and can be monitored safely.
Sometimes the lining of the uterus which is normally shed during a period starts to invade into the underlying muscle of the uterus. This causes the uterus to become bulky and can contribute to pain and heavy bleeding. There are non-surgical and surgical options to treat adenomyosis which generally cannot be cured but can be effectively managed.
Sometimes the lining of the uterus which is normally shed during a period completely escapes or starts to develop in and around the pelvis. It can affect the ovaries, tubes, lining of the pelvis (peritoneum) and the bowel. It can cause pain during a period, pain with intercourse or pain during defecation. It is a significant contributor to infertility and is unfortunately a very common condition affecting up 10% of reproductive age women. There is usually a delay in the diagnosis of endometriosis, averaging up to 10 years. Fortunately, there are good medical treatments available to help manage pelvic pain, pain during intercourse which can be used prior to surgery. Earlier consultations about infertility may be of benefit to improving reproductive success
Sometimes the ovary produces a cyst which can alter the menstrual cycle, cause pain and discomfort or contribute to infertility. Most ovarian cysts are benign and only some will need to be removed surgically.
Abnormal Pap Smears/Cervical screening test (CST)
When a CST or pap smear returns an abnormal result, a colposcopy may be required. This is a detailed examination of the cervix and vagina using a magnification camera (colposcopy). Occasionally a small biopsy will need to be taken.