Some women are fortunate to sail through their periods with little discomfort and few problems. Others deal with physical and emotional complications – such as heavy bleeding and/or PMS -- that can threaten their well-being. If you have concerns or problems with your menstrual cycle, talk to Dr. Morrison. He will help you assess what you’re experiencing and if treatment is needed, he’ll explain your options and help decide what’s best for you. Below are brief answers to questions that are common to many women.
How do I know if I have PMS?
The most prominent symptoms of Premenstrual Syndrome (PMS) are irritability, tension and dysphoria (unhappiness). Other common symptoms may include stress, insomnia, headache, fatigue and mood swings. Symptoms and their intensity vary from woman to woman, and even from cycle to cycle.
What is Premenstrual Dysphoric Disorder?
Premenstrual Dysphoric Disorder (PMDD) is PMS that is so severe that its physical, mental and/or emotional effects are debilitating. The list of troubling symptoms PMDD may cause includes feelings of deep sadness or despair, extreme tension or anxiety, food cravings or binge eating, fatigue and difficulty concentrating. Physical symptoms can include bloating, heart palpitations, breast tenderness, headaches, joint or muscle pain and a swollen face or nose.
Is heavy menstrual bleeding normal?
If you have heavy bleeding that soaks at least one pad or tampon an hour for more than a few hours, call Dr. Morrison’s office for an appointment. He will talk with you about treatments that can free you from heavy periods or abnormal bleeding.
Treatment Options for Heavy Bleeding
If you want to maintain fertility, drug or hormone therapy can help. Talk to Dr. Morrison about available therapies.
Endometrial ablation reduces or eliminates heavy bleeding by destroying (ablating) the uterine lining (endometrium). It is a good option if you want to avoid long-term drug or hormone therapy and DO NOT wish to become pregnant in the future. Dr. Morrison provides the following endometrial ablation procedures in his office:
This rapid method of endometrial ablation uses radio frequency (RF) energy to permanently remove the lining of the uterus, reducing or eliminating future bleeding. NovaSure does not require an incision or hospitalization. Patients who undergo NovaSure® receive general anesthesia or a local anesthesia with sedation.
Gynecare Thermachoice® uses heat to treat the endometrium. The 30-minute procedure is done using a balloon that is inflated inside the uterus, then filled with a fluid that is heated and circulated within the balloon. Thermachoice® requires no incisions and can be performed in Dr. Morrison’s office under local anesthesia or in an outpatient surgery facility.