Michael has extensive experience in identifying and managing these conditions.

Polycystic ovarian syndrome

Polycystic ovarian syndrome is one of the most common causes of menstrual irregularities. Periods may be irregular or not even occur at all. Many women may develop facial hair, acne and increased weight and a diabetic tendency.

PCOS can be diagnosed with hormonal changes from a blood test, or from a pelvic ultrasound. Treatment includes lifestyle changes and perhaps reducing weight, the use of the oral contraceptive pill, and if pregnancy is desired it may be necessary to induce ovulation.

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Heavy Periods- menorrhagia

This is a common complaint and can be caused by clotting disorders, fibroids and polyps (of the uterus). But in many women, no underlying cause is found. Investigations can include a blood count to exclude anaemia, a pelvic ultrasound can diagnose fibroids or polyps. A hysteroscopy (telescope passed into the uterus) may be required to examine the lining of the womb and take a biopsy.

Treatment options include the hormone progesterone (tablet or injection), the ‘combined’ pill or a progesterone IUD (intrauterine device – small coil which is impregnated with progesterone which sits comfortably inside the uterus).

Surgical options such as endometrial ablation which destroys the lining of the uterus this is a day only procedure performed under general anaesthetic. Hysterectomy is the surgical removal of the uterus and is performed under general anaesthetic, and usually requires a 5 day stay at hospital. These procedures are reserved for severe cases in women who have completed their family. For more information visit: Novasure