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Antonio R. Pizarro; Gynecologic Surgeon; Exceptional capabilities. Advanced procedures. Optimal outcomes.A specialtybsurgical practice for women
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 Medical Conditions    Menstrual Problems 
 
Menstrual Problems
 
The time of the menstrual cycle can be distressing for women who experience severe pain or heavy bleeding.  Often women complain that these symptoms keep them from enjoying normal activities or cause them to miss work.  If you experience problems related to the menstrual cycle, it is important for you to seek evaluation and possible treatment.  There is a long list of causes for abnormal periods.  Treatments include medicines, conservative surgery, and hysterectomy.
 
Not all problems related to menstruation are due to a problem in the female organs.  Conditions such as pregnancy, kidney disease, liver disease, or thyroid gland problems can lead to abnormal bleeding.  Some women should be tested for these conditions.  Under certain circumstances it is also important to check for cancer of the uterus.  Once it has been found that such conditions do not exist, treatment with medicines or surgery can be prescribed.
 
Most women with symptoms are candidates for hormonal treatments such as birth control pills, hormone-releasing uterine implants (IUD's), and endometrial ablation (a procedure that destroys the lining of the uterus to control bleeding).  When periods are also painful, such treatments and certain pain relievers like ibuprofen can be considered.
 
Uterine fibroids, endometriosis and polyps (growths of the endometrium, or lining of the uterus) can increase the bleeding and pain during the cycle.  Each of these conditions may require surgical treatment.  For women who are done with childbearing, are in good health, and have menstrual problems that have not responded well to conservative treatments, hysterectomy should be considered.