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Abnormal Uterine Bleeding Treatment in Surrey

Expert care from Mr Sumit Kar, FRCOG, MRCOG, MD (Obs & Gynae), MBBS

Abnormal uterine bleeding is one of the most common reasons women seek gynaecological care. Whether you're experiencing heavy periods that disrupt your daily life, irregular bleeding between cycles, or unexpected post-menopausal bleeding, these symptoms deserve thorough investigation and expert care. As a Consultant Gynaecologist with over 25 years of experience, Mr Sumit Kar provides comprehensive assessment and personalised treatment plans for all types of abnormal uterine bleeding. With expertise in minimally invasive diagnostic procedures and advanced surgical techniques, you can be confident in receiving the highest standard of care.

Symptoms

  • Heavy menstrual bleeding (menorrhagia) - soaking through pads or tampons every 1-2 hours
  • Prolonged periods lasting more than 7 days
  • Irregular bleeding between periods (intermenstrual bleeding)
  • Post-menopausal bleeding - any bleeding after the menopause
  • Bleeding after intercourse
  • Passing large blood clots during periods
  • Periods that significantly impact your quality of life

Diagnosis

  • 1Detailed medical history and symptom assessment
  • 2Pelvic examination
  • 3Transvaginal ultrasound scan to assess the uterus and ovaries
  • 4Hysteroscopy - a camera examination of the inside of the womb
  • 5Endometrial biopsy when indicated
  • 6Blood tests including full blood count and hormone levels

Treatment Options

Medical Management

Hormonal treatments including the combined pill, progestogens, or tranexamic acid can effectively reduce heavy bleeding for many women without the need for surgery.

Mirena Coil (IUS)

The levonorgestrel intrauterine system is highly effective at reducing heavy periods and can be fitted during a simple outpatient procedure.

Hysteroscopic Surgery

Removal of polyps, fibroids, or other abnormalities through the cervix using a hysteroscope, with no external incisions required.

Endometrial Ablation

A minimally invasive procedure to remove the lining of the womb, suitable for women who have completed their families.

Laparoscopic Surgery

Keyhole surgery for conditions like fibroids or endometriosis that may be causing abnormal bleeding.

What to Expect

During your initial consultation, Mr Kar will take a detailed history of your symptoms and perform a thorough examination. An ultrasound scan is often performed during the same appointment to assess the uterus and ovaries. Based on the findings, Mr Kar will discuss all appropriate treatment options with you, explaining the benefits and risks of each approach. If further investigation such as hysteroscopy is recommended, this can usually be arranged promptly at one of the private hospitals where Mr Kar practices. Treatment is always tailored to your individual circumstances, taking into account factors such as symptom severity, whether you wish to preserve fertility, and your personal preferences.

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Frequently Asked Questions

You should seek medical advice if your periods are affecting your quality of life, you need to change pads or tampons more frequently than every 2 hours, you experience bleeding between periods or after intercourse, or you have any bleeding after the menopause. Post-menopausal bleeding should always be investigated promptly.
Heavy periods can be caused by fibroids, polyps, adenomyosis, hormonal imbalances, blood clotting disorders, or sometimes have no identifiable cause (dysfunctional uterine bleeding). A thorough investigation helps identify the underlying cause and guide treatment.
Any bleeding after the menopause requires investigation to rule out serious causes, including endometrial cancer. However, most post-menopausal bleeding is caused by benign conditions such as polyps or atrophic changes. Early investigation provides peace of mind and ensures appropriate treatment.
A hysteroscopy involves passing a thin camera through the cervix to examine the inside of the womb. It can be performed as an outpatient procedure or under general anaesthetic. Any polyps or small fibroids found can often be removed during the same procedure.
Not necessarily. Many women find that medical treatments effectively manage their symptoms. Surgery is considered when medical treatments haven't worked or aren't suitable, or when there's an underlying cause that requires surgical treatment such as fibroids or polyps.

Nearby Clinic Locations

Mr Sumit Kar offers this service at private clinics in Surrey. Find your nearest location:

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