Heavy menstrual bleeding is a common condition. It is affecting up to 25 % of women of reproductive age. It has a significant impact to their physical, emotional, social and quality of life overall.
Dr Sem has in-depth knowledge of this condition and will be able to offer his patients the best treatment option to suit their clinical condition, reproductive wish and ultimate goal in seeking treatment.
Also called as menorrhagia, heavy menstrual bleeding, dysfunctional uterine bleeding – abnormal uterine bleeding (AUB) is simply defined as “excessive menstrual blood loss which interferes with a woman’s physical, social, emotional and/or material quality of life”.
The excessive loss can be due to timing, volume and/or regularity. So what is important is the perceived effect on someone’s well being.
Abnormal uterine bleeding can be caused by different pathologies, broadly divided into anatomical/ structural of genital tract and non-structural.
Potential structural causes are:
Non structural causes such as:
Dr Sem will carefully take your history and perform a clinical examination to ascertain the cause of your problem.
To determine the most likely cause of abnormal uterine bleeding, further investigations may be required.
Some investigations or tests can be performed by Dr Sem in his rooms, for example:
Dr Sem may refer you for additional testing, which may include:
In some cases, to rule out benign tumour, malignancy or cancer, a diagnostic procedure may be required.
This procedure is called hysteroscopy, where a 4 mm camera is inserted into the womb to completely visualise uterine cavity. A sampling biopsy is always performed at the same time.
Dr Sem offers personalised treatment plan for his patients. Every woman is unique, with different clinical condition, stage of life and fertility requirements. There is not one solution that will fit all. With his expertise, Dr Sem will assist his patients in making the best treatment decision.
The treatment can be divided broadly into :
Dr Sem is an expert laparoscopic gynaecological surgeon, and can offer his patients the minimally invasive route to treat abnormal uterine bleeding.
This will allow a quicker recovery, less pain and earlier return to daily activities.