Intermenstrual bleeding can also be heavy and disturbing and may require further clarification. We can help you find out if and what the problem is and discuss the possible therapies with you and help you decide which one is right for you.
Cycle disorders: Treatment often with hormones
Various treatment options are available today for bleeding disorders:
- medicinal
- hormonal
- surgical
If drug and hormonal therapies do not help, it is not necessarily necessary to remove the uterus. In some patients, the endometrium can be treated directly, as this is the actual source of bleeding.
Before any therapy, we must first rule out the possibility that you are pregnant. Sometimes no treatment is necessary if you do not or hardly suffer from the irregularities. Weak periods usually do not need to be treated. In many cases, taking hormones regularly can alleviate the symptoms. Oestrogen, clomiphene or combination preparations of oestrogen and progestogen bring shortened cycles back into a four-week rhythm. A luteal insufficiency is compensated for by taking progestogens in the second half of your cycle. If you want to get pregnant and have problems with your ovaries, they may need hormonal stimulation to trigger ovulation.
If there is no menstruation, the treatment depends on the cause. We also treat polycystic ovary syndrome (PCOS) with hormones. However, if psychological stress or anorexia is the cause, we recommend a change in your lifestyle (stress reduction) or psychotherapy. If you have a blood coagulation disorder, we recommend antifibrinolytics to increase coagulation. If tumors (fibroids) or polyps grow in the uterus, these usually have to be removed surgically or by scraping the uterus.