Menstrual irregularities or bleeding disorders are a common problem why women come to us.
Menstrual periods that are very heavy, last an extremely long time or occur too frequently can be particularly stressful and can also lead to anaemia.
Intermenstrual bleeding can also be heavy and disturbing and may require further clarification.
We can help you to find out whether and which problem is present and discuss the possible therapies with you and help you to decide which one is right for you.
Various treatment options are available today for bleeding disorders:
If drug and hormonal therapies do not help, it is not necessarily necessary to remove the uterus.
In some patients, the endometrium can be treated directly, as this is the actual source of bleeding.
Before any treatment, we must first rule out the possibility that you are pregnant.
Sometimes no treatment is necessary if you suffer little or no irregularity.
Weak periods usually do not need to be treated.
In many cases, taking hormones regularly can alleviate the symptoms.
Oestrogen, clomiphene or combination preparations of oestrogen and progestogen can bring shortened cycles back into a four-week rhythm.
A luteal insufficiency can be compensated for by taking progestogens in the second half of your cycle.
If you want to get pregnant and have problems with your ovaries, they may need to be hormonally stimulated to trigger ovulation.
If you do not have a period, treatment depends on the cause.
We also treat polycystic ovary syndrome (PCOS) with hormones.
However, if the cause is psychological stress or anorexia, we recommend a change in your lifestyle (stress reduction) or psychotherapy.
If you have a blood clotting disorder, we recommend antifibrinolytics to increase clotting.
If tumors (fibroids) or polyps grow in the uterus, these usually have to be removed surgically or by scraping the uterus.
You can either register yourself or be referred by your primary care physician or gynecologist.
Monday – Friday from 7.45 a.m. – 4.45 p.m.
University Hospital Zurich Department of Gynecology Frauenklinikstrasse 10 8091 Zurich