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Abnormal uterine bleeding – Dr. Michael McKay

(calming music) – Generally speaking, when
you have abnormal bleeding, you do have pain. The heavier your bleeding
that you experience, probably you’re gonna experience
more pain with it also. The risk of irregular
bleeding, if gone untreated, it can lead to endometrial cancer or other disorders of
the lining of the uterus. If heavy bleeding goes untreated, it can lead to anemia
which then could result in severe tiredness,
fainting, passing out, as well as other health issues. First thing we do, of course,
is a history and physical. Then you would try to do an ultrasound, and look at the uterus,
look at the uterine lining, look at the anatomy of the uterus and looking for abnormalities. The first thing we normally
do is to try medical therapy. When medical therapy fails, then we start using our new technologies. The first thing that we would do is do something called a hysteroscopy. Hysteroscopy is where we
insert a very small scope through the cervix, into the uterus and examine the endometrium, or the lining of the uterus
in the endometrial cavity. If there are polyps, we
can remove the polyps, if there are fibroids, we
can insert instruments in that will remove the fibroids. And we also do something
called endometrial ablation where we ablate or burn
the inside of the uterus to stop menstrual cycles all together. If you’re not a candidate
for those procedures. Or you have other uterine problems that don’t lend themselves
to endometrial ablation, then we talk about doing a hysterectomy. And in today’s world, we do
laparoscopic hysterectomies or robotic assisted
laparoscopic hysterectomies. By doing this, we shorten your duration of stay in the hospital, we lessen the pain that you
experience after the procedure and your recovery is shortened. By shortening your recovery,
it decreases the number of complications that you experience, decreases your pain,
and also gets you back into your normal activities much quicker. (calming music)

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