The key question is this: “Is your family complete?”
Heavy periods in young women are almost invariably due to abnormal ovulation cycles or polycystic ovarian changes. Hormonal suppression with the oral contraceptive pill or Mirena (sometimes both is the best option) once a scan has been completed and blood tests excluding rare conditions that affect blood-clotting profile have been conducted. Occasionally, over-use of certain Chinese herbal supplements can also have a dramatic effect on a woman’s menstrual periods.
In women with a completed family the option of continued medications is available, as are three surgical options:
- Mirena IUD implant: reversible, present for up to five years at patient’s discretion
- endometrial ablation: removing the inner lining of the uterus permanently
- total laparoscopic hysterectomy (TLH): when indicated, virtually always completed as a keyhole procedure, necessitating one or two days in hospital, back to work/driving within seven to twenty-one days.
All these procedures are covered in more detail under the Surgery section.