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The lining of the uterus reacts to female hormones throughout life. A balanced cycle of the female hormones, progesterone and oestrogen, is needed to produce a normal period. If the oestrogen part of the cycle becomes too strong, the lining of the uterus will overgrow. This thickened lining causes heavy and irregular bleeding. Sometimes this can lead to a lower blood count. The cycle can be shorter or longer than usual, even to the point of having no periods for many months.
Women who develop this overgrowth, in addition, may have one of the following: - the inability to get pregnant due to an ovarian problem called polycystic ovarian syndrome or
- medical problems, such as diabetes or high blood pressure
Testing and treatment depend on how severe the problem is and how long it has been going on. The desire for children is considered as well. Because women often become used to heavier periods without complaining, a blood count can tell how bad the problem has become. A sample of the lining may be taken with a tiny straw-like instrument before treatment is started. This will test for any other causes of bleeding, like cancer. At this point, treatment can begin, usually with hormones to correct the problem. Oral contraceptive pills, progesterone tablets or injections, and fertility medications are used with young women. Surgery is rarely needed. Article #7123 Copyright (c) 2002 McKesson. All Rights Reserved. |
