Common Gynecological Problems

Abnormal Uterine bleeding

what is Abnormal Uterine Bleeding?
=Any Bleeding From the womb that does not conform to your menstrual pattern.

What is the Cause?

* Fibroids
* Polyps
* Abnormal uterine lining
* Foreign body e.g. IUCD
* Hormonal imbalance
* Cancer of the womb

How Do your Doctors Determine the cause?



As cancer is the first and foremost concern, a sample of your womb lining will need to be taken for examination.

This is traditionally done by a procedure called "dilatation and curettage ( D & C), which is normally requires to general anesthesia.

However, this is a blind procedure, performed without any visual aid and can sometimes miss the problem area.

Hysteroscopy

A hysteroscopy is a telescope which is inserted into your womb via your vagina to visualize the cavity.

Any abnormal can be identified and treatment recommended to you.

Office Hysteroscopy and Endometrial Biopsy


Many of our patients, including but not limited to women who have delivered babies normally or who have had previous dilatation of the cervix performed on them during termination of pregnancy or D&C, may be suitable for hysteroscopic examination of their wombs in our outpatient hysteroscopy services.
Using a very find telescope, the womb can be inspected without any or just minimal anesthesia.
The advantages include:
• A single visit to the clinic
• No need for general anesthesia which can be hazardous at times
• No pre-operative fasting and laboratory investigations.
After the procedure you may return home or to work without the residual effect of a general anesthesia. In addition, the procedure is of a much lower cost to you.
After hysteroscopic examination, a small specimen of your womb lining is taken for histological examination.

Treatment

Treatment depends on what abnormality is detected and may include:
• Hormonal treatment
• Endometrial ablation : This requires general anesthesia and a short hospital stay. The endometrial (menstrual lining of the womb) is destroyed or removed.


• Hysterectomy

Fibroid Common
Non Cancerous
Uterine Muscle Tumor
Polyp Protrusions from lining of the Uterine Cavity
Abnormal Uterine Lining Can be due to vascular changes or hormonal imbalance
Adenomyosis Endometrial tissue invading into muscle wall of the uterus
Hormonal Imbalance May be spontaneous or due to herbs or drugs consumed