Heavy Menstrual Bleeding Specialist

Edward S. Wagner, M.D. -  - Obstetrics and Gynecology

Edward S. Wagner, M.D.

Obstetrics and Gynecology located in Hollywood, FL

It's estimated that only one-third of women seek help for heavy menstrual bleeding, even when their flow interferes with their daily activities. Dr. Edward S. Wagner has treated many women with heavy menstrual bleeding and encourages you to get an evaluation, because it may be a sign of an underlying health problem. If you wonder whether your bleeding is too heavy, call Dr. Wagner's office in Hollywood, Florida, or book an appointment online today.

Heavy Menstrual Bleeding Q & A

What is heavy menstrual bleeding?

Many women aren't quite sure when their menstrual bleeding is heavy enough to justify seeing a doctor. You can compare your periods to the guidelines below, but please don't hesitate to call Dr. Wagner if you have any questions or concerns about your period.

If you have one or more of these, your periods qualify as heavy:

  • Bleeding lasts more than 7-8 days
  • Bleeding soaks through one or more tampons or pads every hour
  • Need to wear more than one pad at a time
  • Need to change pads or tampons during the night
  • Pass blood clots that are the size of a quarter or larger

What causes heavy menstrual bleeding?

It’s important to have heavy menstrual bleeding evaluated by Dr. Wagner because some of the underlying causes can lead to long-term problems if they go untreated. For example, endometriosis causes heavy bleeding and it’s also one of the top causes of infertility — a problem many women don’t discover until they try to become pregnant.

The most common causes of heavy menstrual bleeding include:

  • Uterine fibroids: growth of muscle in the uterine wall
  • Uterine polyps: growth on the uterine lining
  • Endometriosis: uterine tissues grow outside the uterus
  • Adenomyosis: uterine lining found within the wall of the uterus
  • Irregular ovulation: common during puberty and perimenopause, or due to polycystic ovary syndrome (PCOS)
  • Cancer: heavy and abnormal bleeding are possible symptoms of cervical or uterine cancer

How is heavy menstrual bleeding treated?

Dr. Wagner may prescribe hormone-based treatments such as birth control pills to lighten menstrual flow, make periods more regular, or to stop bleeding. Hormone replacement therapy (HRT) may help when heavy bleeding occurs during perimenopause. Dr. Wagner may also consider other medications, depending on the cause of your bleeding.

When is surgery necessary?

When medications aren't successful or if diagnostic procedures such as ultrasound and hysteroscopy indicate the need, Dr. Wagner may recommend surgery to treat heavy bleeding. Dr. Wagner performs most procedures using minimally invasive surgery, and some may be performed in the office.

Surgical procedures include:

  • Endometrial ablation: removes the uterine lining
  • Uterine artery embolization: shrinks fibroids by blocking blood vessels
  • Myomectomy: removes fibroids while keeping the uterus intact
  • Hysterectomy: partial or total removal of the uterus used only when other treatments aren’t feasible

If you have any questions or concerns about your menstrual periods — whether they're too heavy or you have moderate to severe pain — call Dr. Wagner or use the online booking feature to schedule an appointment today.