To ask about Dysfunctional/ abnormal Uterine Bleeding?

[MerciVeryMuch]

Hello,

Posting here for traffic.

Sorry for the long post but I don't want to drip feed. Please bear with me as I am desperate for an answer.

I've been bleeding every single day for almost a month now, with my "periods" getting heavier and heavier culminating in flooding for the past week. Nothing seems to work.

I've always had regular seven days periods but about six/seven months ago, suddenly, out of the blue, I started haemorrhaging and it lasted for about 3 weeks. Since then my periods are very irregular, flooding (much heavier than post-partum bleeding) with at least a month and a half interval, and always flooding.

Since the problem started I was prescribed Tranexamic Acid which I find not very efficient. Has transvaginal ultrasound which found nothing amiss. Had to go to the A&E where I had a vaginal examination by a gynaecologist which again found nothing amiss and I was told I might have a Dysfunctional/ abnormal Uterine Bleeding, but had to have a proper appointment to be assessed more thoroughly. Managed at last to have a phone "consultation" with a gynaecologist who told me I needed a hysteroscopy, although when that will be possible I don't know as I am now on the waiting list and things are very slow with the current situation.

I'm 37 with two DC, 7 and 3, vaginal births. No hormonal birth control. No major change in my life. I am taking multivitamins + iron supplements after a blood test found I had low haemoglobin after my first bout of flooding. I am at my wits end and it's affecting every area of my life.

Why do I need a hysterescopy when a vaginal ultrasound and exam didn't find anything? What may be the cause? What are the alternatives to the Mirena coil? How can I manage the bleeding as nothing seems to work?

Hormone levels going out of whack can cause it or fibroid - I went through similar twice in the past ten years. First time was a fibroid, second aged 36, my blood test results showed my hormones were at peri menopause levels and my body was basically In hyper drive thinking more eggs were being released

OP, you have no idea of anyone's qualifications or experience on the internet so please don't take medical advice from anyone on here.

Seek a second opinion from a real life professional.

I hope it gets sorted soon.

@MrBloomsLeftVeg thanks for your input. What happened next?

@Lockheart thanks for your post. In the current situation one's feels lucky to meet a health professional for the first time, let alone seek a second opinion!

@MrBloomsLeftVeg sorry, forgot to mention no fibroids here. The scan found nothing abnormal.

Um, you've posted twice?

Hello @All

Thanks so much for all your advice and especially for sharing your experiences. By posting here I wasn't questioning the consultant's decision about hysteroscopy but rather seeking to understand better my current situation and the possible treatments. I feel foolish now but at the time I felt that I took too much of the gynaecologist time over the phone telling them about my history over the past 7 months, so that when they suggested hysteroscopy and told me briefly what it was I didn't ask any other question I really do feel that I wasted the opportunity to ask all the questions I had, considering that I waited so long to be able to talk to a specialist...Oh well, I blame my sleepless week due to the heatwave!

Also, I'd be really grateful if anyone who tried natural treatments (herbs, lifestyle changes, etc.) which worked could share them with me so that I could research them. I always favour natural treatments if possible but will always turn to traditional medicine when needed.

Thank you

Hysteroscopy will allow a better view of inside your uterus, some things may be missed on ultrasound for various reasons. It will also allow them to take a biopsy to test if they want to. It’s really about ruling out obvious causes at this point - polyps, fibroids etc.

I had one prior to an ablation last year. The hysteroscopy was probably about 10 minutes and no issues at all. Conversely the ablation was horrific, and a year later it’s one of my biggest regrets. Now waiting (in a lot of pain) for a hysterectomy.

As for managing the bleeding, things I’ve been offered: birth control pills, Mirena coil, tranexamic acid, mefenamic acid, naproxen, endometrial ablation, chemically-induced menopause (although this was stressed that it’s not a long-term solution for me due to my age - just to tide me over until hysterectomy), and hysterectomy.

Obviously if they do find something during hysteroscopy treatments will depend on that.