Menstrual disorders are common in women during their reproductive years. Menstrual disorders can include very irregular bleeding, heavy periods, heavy and prolonged periods and very prolonged periods. In the majority of cases this is usually secondary to either a hormonal problem or can occasionally be secondary to some form of pelvic pathology such as endometrial polyps or fibroids. If you are worried about an irregular bleeding pattern then some simple tests may explain what is happening and you may benefit from some very simple treatment.
An examination for irregular bleeding is important to exclude any cervical abnormalities and a pelvic ultrasound scan to look for pelvic pathology. If a fibroid is suspected in the cavity of the uterus or a polyp, it may sometimes be necessary to perform a Saline installation sonography to evaluated the uterine cavity. Endometrial polyps are commonly seen and can cause intramenstrual and post coital bleeding. If found they can be removed by means of a minor operative procedure called a hysteroscopy and polypectomy. The relationship between polyps and sub fertility is unclear but certainly any couple embarking on fertility treatment or considering achieving a pregnancy, should have polyps removed prior to doing so.