Abnormal Bleeding

Are you concerned with your bleeding patterns? Have you been told that you need a hysterectomy? Are you contemplating to have surgery or looking for more conservative alternatives?

At the Women’s Clinic of South Texas we have created an inclusive approach to bleeding that combines all treatments to offer our patients with the approach that will best suit them. Our approach has been to develop and pioneer the introduction to our community of the more conservative ablation treatments. Our clinic has been the first to introduce and implement in the Valley the three ablative techniques of Gynecare Thermachoice, HerOption, and Novasure. We have also quickly adopted the Laparoscopic Subtotal Hysterectomy, as well as become the leaders in the Robotics Hysterectomy/Laparoscopy program.

Abnormal bleeding can be very bothersome. There are many forms, too light, too heavy, or in between periods. If you are experiencing any of the following symptoms, seek an evaluation by your gynecologist.

  • Heavy periods
  • Bleeding in between periods
  • Bleeding after intercourse
  • Bleeding associated with moderate to severe cramping
  • Cramping during the period that is not relieved by over-the-counter analgesics
  • Bleeding after menopause (postmenopausal bleeding)
  • Persistent vaginal discharge with blood
  • Unpredictable periods
  • Bleeding infrequently, with a frequency of every three months or longer
  • Pelvic pain
  • Pelvic pressure
  • Pain during and after intercourse

If you are experiencing any of the above mentioned symptoms, consult with your gynecologist. The typical office visit to address these complaints will involve a Pap smear, and potentially performing some blood work, an Ultrasound and/or a biopsy. These procedures are all very simple and are performed during the same visit.

Would you like to learn more on ablations and laparoscopic hysterectomy?

Endometrial Ablations: The easy answer to bleeding and the obvious alternative to hysterectomy.

For the woman with abnormal bleeding (i.e., heavy periods), an ablation may be the easiest ambulatory approach to address her condition. This procedure will render the patient infertile and therefore it is only performed for those women that are no longer interested in fertility. The typical patient may have an ablation and sterilization performed simultaneously.

The overall success rates of these various techniques may range from 70-90%. For example, out of 100 women undergoing an ablation today, 3 to 5 years from now, there would be: 30 to 40 with no periods or bleeding at all, an additional 40-50 with a significantly reduced period. Overall, the procedure has a 75 to 90% success rate, or a 10 to 25% failure rate. The typical patient with an abnormal bleeding may choose this approach as the first line, and if it were to fail, we could consider a laparoscopic, total or subtotal hysterectomy (see below).

Total or Subtotal?
Laparoscopic or open?

At the Women’s Clinic of South Texas we consider these options when we evaluate and we will determine along with you which is the best and safest approach for your specific condition.

Over the years we have developed a conservative and pragmatic approach to all these choices.

At the present time we emphasize in the use of the laparoscopic subtotal hysterectomy. We have also taken a leading role in the introduction and use of the Robotics DaVinci approach for gynecological surgery. Most cases will be addressed with a conventional laparoscopic approach.

Have you been told that you need a hysterectomy? Have you been offered an Endometrial Ablation or Minimally Invasive Surgery?

Large surgical incisions and long hospital stays may not be necessary to address your abnormal bleeding. The focus at the Women’s Clinic of South Texas has been to continue to adopt the latest techniques to simplify our approaches to the different surgical techniques. Nowadays, most patients that are not candidates for medical therapy and opt for surgery are addressed by either an ablation or by a laparoscopic total or subtotal hysterectomy. This philosophy has allowed us to create an approach where patients recover easier and quicker,and return home more promptly and back to work sooner.

Gynecare ThermaChoice: In-Office or Hospital

Women’s Clinic of South Texas offers 3 different types of options for the treatment of endometrial ablation. We have been pioneers in our area in introducing these techniques to the Rio Grande Valley. We are the first practice to introduce Gynecare, Thermachoice, Uterine balloon therapy to the Rio Grande Valley as well as to first to also introduce the Novasure technique. Futhermore, we are the only practice in the Valley to offer the only in-office ablation procedure, Her Option, a cryoablation that uses cold or freezing to diminish bleeding. Please see below for further details.

Learn more about Gynecare – Thermachoice

Her Option Cryoablation Therapy: In-Office

In-Office Procedure Her Option® from AMS is a comfortable treatment option for excessive menstrual bleeding. It ablates endometrial tissue through sub-zero temperatures using ultrasound guidance to monitor the safety and extent of treatment. Learn more about Her Option.

Novasure: At the Hospital

The newest generation of ablation procedures known as global endometrial ablation. Novasure is an effective outpatient procedure and a newest alternative to hysterectomy, conventional endometrial ablation and hormone therapy for the treatment of excessive menstrual bleeding. Physicians can now treat women with excessive menstrual bleeding in a minimally invasive manner to eliminate or reduce their bleeding. Learn more about Novasure.