The treatment for your problem will depend on your individual circumstances. Treatment will also vary depending on your age, whether you wish to or have had children, and in particular whether any treatments have already been tried by your GP. Treatments sometimes begin with non-hormonal tablets such as Tranexamic acid and Mefenamic acid. Sometimes hormonal tablets are used such as the combined oral contraceptive pill or the progesterone only pill. Sometimes progesterone treatment is given by a three monthly injection or via the release of progesterone from the stem of a special kind of intrauterine device (coil) called Mirena. There is also a very simple treatment available called endometrial ablation which works by destroying the lining of the womb, so preventing heavy periods. This can be done using a special technique called Novasure.
If fibroids appear to be the problem, then some different treatment options may be considered. Sometimes fibroids can be removed surgically by passing a slender telescope through the cervix (hysteroscopy) allowing a fibroid which is filling the cavity of the womb to be removed bit by bit. This is called transcervical resection of a fibroid. If the fibroids are bigger or more deeply lying, then a radiological procedure (done in the x-ray department) can be used to block the blood supply to the uterus. This causes the fibroids to shrink, so reducing your menstrual symptoms in that way. Occasionally surgery is required to remove individual fibroids (myomectomy) but occasionally a hysterectomy is required. We will be able to guide you through the appropriate treatment options for your particular circumstances so that you come to the right choice for you.
