Personalized Care to Improve Your Symptoms
Irregular bleeding can mean different things to different people. Some patients may have cycles that do not come when they are expected with a typical 28-day cycle, and others may have expected timing, but the amount of bleeding is unpredictable. For some patients, both are the case. After taking a history evaluation about what is normal for you and what is concerning for you, we will work together to improve your symptoms. An evaluation with history, physical exam, lab studies, and ultrasound are common ways to evaluate the cause of your concern. Once we have a complete picture, we can collaborate to devise a treatment plan that works for you. Both hormonal and non-hormonal treatments are possible and treatment will be individualized.
What Causes Irregular Menstrual Bleeding?
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Irregular menstrual bleeding can result from a variety of gynecologic and medical conditions. In some cases, temporary hormonal fluctuations may affect your menstrual cycle, while persistent or severe bleeding may be linked to an underlying health concern that requires treatment. Identifying the cause is an important first step toward developing an effective treatment plan.
Common causes of irregular menstrual bleeding include:
- Hormonal imbalances
- Uterine fibroids or polyps
- Polycystic ovary syndrome (PCOS)
- Endometriosis or adenomyosis
- Thyroid disorders
- Perimenopause or menopause
- Pregnancy-related complications
- Certain medications or birth control methods
Dr. Ann Bertles performs a thorough evaluation to determine the underlying cause of your symptoms and recommends the most appropriate treatment based on your needs and health goals.
Endometrial Ablation for Heavy Bleeding
Endometrial ablation is an excellent non-hormonal treatment for heavy bleeding after an appropriate workup. This is an outpatient procedure that is incisionless. During this procedure, we look inside the uterus with a small camera to make sure there are no abnormalities. Samples are taken and sent to the pathologist to confirm all normal tissue is present. The internal lining of the uterus is safely burned so that it may not regenerate every month leading to a period. This procedure can eliminate your monthly cycle or if it remains, it will be significantly reduced in amount. An ultrasound is important in the pre-op evaluation for this procedure so we ensure a great outcome.
Hormonal Treatment Options for Irregular Periods
Hormonal treatments are another option for controlling bleeding. Hormonal treatment can be long-term or short-term depending on the symptoms and causes. Some patients prefer a non-surgical way of managing bleeding issues.
da Vinci Laparoscopic Surgery for Gynecologic Conditions
Every patient desires a good surgical outcome and we offer many second opinions. In most cases, an open hysterectomy or sacrocolpopexy is a substandard procedure with increased blood loss, length of stay, recovery, pain, and complications. When you are considering options for surgery, please make sure you are comfortable with the treatment plan and care discussed.
When Should You See a Gynecologist for Irregular Bleeding?
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While occasional changes in your menstrual cycle can occur, persistent or unexpected bleeding should not be ignored. At Progressive Women’s Care, Dr. Ann Bertles takes a personalized approach to care, identifying the underlying cause of your symptoms before recommending treatment options that align with your health needs and goals.
You should schedule an appointment if you experience:
- Bleeding between periods
- Heavy menstrual bleeding that interferes with daily activities
- Periods lasting longer than seven days
- Menstrual cycles that are consistently shorter than 21 days or longer than 35 days
- Bleeding after menopause
- Pelvic pain or other symptoms accompanying abnormal bleeding
Whether your symptoms can be managed with medication or require a minimally invasive procedure, Dr. Bertles will work with you to develop a treatment plan focused on your long-term gynecologic health.
Irregular Menstrual Bleeding FAQs
Is irregular menstrual bleeding ever normal?
Occasional changes in your menstrual cycle can occur due to stress, weight changes, hormonal fluctuations, or certain medications. However, bleeding that is persistent, unusually heavy, occurs between periods, or develops after menopause should be evaluated by a gynecologist.
Will I need surgery for irregular menstrual bleeding?
Not necessarily. Many patients achieve symptom relief with medications or hormone therapy. Surgical treatments, such as endometrial ablation or minimally invasive robotic procedures, may be recommended when conservative treatments are not appropriate or have not been effective.
Can irregular menstrual bleeding affect fertility?
It can, depending on the underlying cause. Conditions such as PCOS, endometriosis, or uterine fibroids may affect fertility in some women.
When is irregular menstrual bleeding considered an emergency?
Seek immediate medical care if you experience extremely heavy bleeding that soaks through a pad or tampon every hour for several consecutive hours, feel faint or dizzy, have severe pelvic pain, or suspect you may be pregnant and are experiencing heavy bleeding. These symptoms may require urgent evaluation and treatment.
Take Control of Irregular Menstrual Bleeding
Find the right treatment for irregular menstrual bleeding in Katy, TX. Schedule your consultation today. At Progressive Women’s Care, Dr. Ann Bertles offers personalized care to diagnose the cause of abnormal bleeding and develop a treatment plan for patients in Katy, Cypress, Houston, and Fulshear, TX.
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Meet The Team
Dr. Bertles is licensed by the Texas State Board of Medical Examiners and is board-certified by the American Board of Obstetrics and Gynecology. Amanda Smith, PA-C, spent the first 15 years of her career in primary care and is excited to join Progressive Women's Care and Dr. Bertles as she brings her primary care knowledge to women's health.
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