Hello, I am Dr. Pooja Sharma Dimri. I'm a gynecologist occupation and an infertility specialist. I also specialized in minimally invasive surgery, gynecology including operative laparoscopy and histroscophy copy. Now I'm going to talk about a very common complaint with women present with us, which is irregular menstrual bleeding. Irregular menstrual bleeding may be in the form of delayed or irregular periods or heavy menstrual bleeding or frequent menstrual cycles. Most of the common cause of this irregular menstrual bleeding is hormonal issues like polycystic ovarian disease or hyperthyroidism.
In other cases, the cause of heavy or irregular menstrual bleeding maybe some pathology in the uterus like fibroids, polyps, abnormalities in the uterine lining or the endometrium to diagnose the cause of the regular or the heavy menstrual bleeding.
Before we go on to treatment we may need to do certain investigations like the hormonal profile to her on hormonal issues, sonography of the uterus and the pelvis to see for any nutrient pathology but sometimes all pathology may not be detected by the imaging studies and the blood investigation and we may require a hysteroscopy or a minimally invasive surgery to diagnose and treat these pathologies. Now hysteroscopy is a minimally invasive technique in which a specialized scope or telescope is put inside the uterine cavity in which we can directly visualize any pathology like a small uterine polyp or thickened endometrium at the same thing. That pathology can be removed and the endometrial lining can be sent for a biopsy.
In cases of older patients and specially in the ferryman age group, it is very important to rule out chances of cancers of the uterus. So in case of in irregular menstrual bleeding it is better to consult your gynecologist to rule out abnormal pathology.
For more details you can contact me on Lybrate.com.