CAUSES OF HEAVY BLEEDING IN WOMEN

 

 

Dr. Steven R. Goldstein MD is a leading Gynecologist in NYC and an internationally renowned expert in Gynecologic Ultrasounds. In private practice for over 25 years, Dr Goldstein sees many female patients with medical complaints related to heavy periods (menorrhagia), heavy periods or abnormal vaginal bleeding.

 There are several causes of heavy bleeding in women and each needs to be evaluated by a board-certified Gynecologist. At times the bleeding is accompanied by pelvic pain or cramping. Dr Goldstein, a gynecologist in NYC for heavy bleeding, lists out a few of the reasons for heavy vaginal bleeding in women.

 One of the causes of heavy bleeding is uterine Fibroids. Fibroids are also known to cause heavy bleeding at the proper time due to growth of the uterine cavity such that there is more surface area and heavy menstrual bleeding at the proper time. Small Fibroids can also cause bleeding depending on where they are located in the uterus. Even small fibroids that impinge on the endometrial cavity (lining) can cause significant bleeding.

 Adenomyosis (endometriosis of the uterus or myometrium) may result in heavy menstrual bleeding at certain times. Historically, heavy menstrual bleeding (menorrhagia) and painful menstruation (dysmenorrhea) are the major symptoms of adenomyosis. This condition is benign, but can be very painful. It is due to the inner lining of the uterus protruding through the muscle wall of the uterus.

 Women with many children will see growth of the size of their uterus, which increases the surface area of the uterine lining. In this case bleeding may be heavy without there being any abnormality.

 The presence of uterine polyps in synchrony with the normal menstrual cycle can result in heavy menstrual bleeding at the appropriate time.

 What can a woman do about heavy bleeding? Dr Goldstein, a Gynecologist in NYC      

recommends that women have a Transvaginal Ultrasound or Sonohysterogram as the first means of diagnosis rather than invasive surgeries like blind endometrial biopsies.

These procedures produce clear, high-resolution images of the uterus, uterine lining, the wall of the uterus, fallopian tubes, ovaries which are used to make an accurate diagnosis.

 Dr Steven R. Goldstein is a Professor of Obstetrics and Gynecology at New York University School of medicine, a former Director of Gynecologic Ultrasound at NYU Langone Medical Center and a Past President of the American Institute of Ultrasound in Medicine. Dr Goldstein performs all transvaginal ultrasounds and Sonohysterograms personally.