Periods
Excessive or prolonged menstrual bleeding that affects daily life. Almost always treatable once the cause is identified.
Understanding
Heavy periods are common, but they are not something you simply have to live with. Heavy bleeding may be caused by fibroids, polyps, hormone imbalance, conditions of the womb lining, or sometimes nothing structural at all.
A focused review with Mr Orabi usually identifies the cause within one appointment, and the treatment options range from medication and the Mirena coil through to outpatient hysteroscopy and surgery.
Common symptoms
Periods lasting longer than seven days
Soaking through pads or tampons every one to two hours
Passing large clots
Flooding through to clothing or bedding
Tiredness or breathlessness from anaemia
Diagnosis
Approach
A structured workup, often within one appointment, to identify the cause and shape a clear treatment plan.
Detailed cycle history
Pelvic ultrasound (abdominal and transvaginal)
Endometrial biopsy when indicated
Hysteroscopy to look directly inside the womb
Blood tests for anaemia, thyroid and coagulation
Treatment
Treatment is built around your symptoms, preferences and any other conditions. Options often combine medication, hormonal treatments and where appropriate, surgery.
Tranexamic acid and anti-inflammatories during periods
Hormonal options: combined pill, mini-pill, depot injection, implant
Mirena (intrauterine system), highly effective for reducing flow
Endometrial ablation in selected cases
Surgical treatment including myomectomy or hysterectomy where appropriate
Related procedures
Diagnostic & operative
A short procedure that lets us look directly inside the womb using a slim camera. No cuts are needed. Available in clinic under local anaesthetic, or at hospital under general anaesthetic for more involved cases.
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Outpatient sample
A small sample of the womb lining, taken in clinic, to investigate heavy or abnormal bleeding. Quick to perform and usually well tolerated.
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Hysteroscopic surgery
Hospital removal of endometrial polyps using hysteroscopy, often with the MyoSure tissue-removal system. A short, scar-free procedure that's effective in a single visit.
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Fibroid removal
Surgical removal of fibroids while preserving the womb. A good option for women who would still like to have children, and for those who want to keep their uterus.
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Major keyhole surgery
Keyhole removal of the womb, cervix and (where indicated) the fallopian tubes and ovaries. Faster recovery and smaller scars than open hysterectomy.
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Contraception
Hormonal (Mirena, Kyleena, Jaydess) or copper coils fitted in clinic under local anaesthetic, with ultrasound guidance for accurate placement.
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Your consultation
A first appointment is unhurried. We work through your history, your symptoms and your priorities, and where helpful arrange examination, imaging or further tests at the same visit. You leave with a clear plan and time to ask any question you bring.