For many women, the irregularity and heaviness of their periods or the occurrence of intramenstrual bleeding can cause frustration, pain and even distress. Irregular bleeding is usually secondary to either a pelvic condition such as polyps or endometrial fibroids, or to a hormonal problem. By seeking the advice of a specialist such as London female gynaecologist Miss Amanda Tozer, the causes of your irregular bleeding pattern can be diagnosed and, in many cases, a simple treatment prescribed.

What tests will I have?

At her clinic in London’s Harley Street, Miss Amanda Tozer will check for cervical abnormalities and conduct a pelvic ultrasound, identifying any pelvic pathology. She will also run tests for hormone imbalances. In some cases it will be appropriate to conduct a saline sonography whereby any hidden abnormalities in the uterine cavity become evident. If you are over 40, Miss Tozer may recommend a hysteroscopy which enables further investigation to ensure that nothing has been missed.

What are my treatment options?

If the investigations reveal the presence of endometrial polyps, a minor operative procedure – a hysteroscopy and polypectomy – can be performed to remove them. The treatment of fibroids (benign tumours) depends on their type, location and size. In some cases, no treatment is advised but where they are considered to be posing a threat to fertility or putting pressure on an organ such as the bladder or the rectum, surgery may be advisable. Miss Amanda Tozer lists menstrual disorders as one of her main interests and she has treated many women with irregular bleeding at both her private clinic and at London’s St Bart’s Hospital where she is a consultant gynaecologist. During a consultation with Miss Tozer, you will receive clearly explained specialist advice and be given compassionate, reassuring and personalised care.