Episode 42: Heavy Menstrual Bleeding

Welcome back to The Uterine Sound podcast! In this episode, we explore the common condition heavy menstrual bleeding through Mikayla, a 35-year-old patient grappling with the issue.

Join Carla, Mel, and Anne as they unravel what defines normal vs. heavy bleeding and the historical methods for quantifying it. Discover the causes of HMB using the PALM-COEIN system, from structural issues like fibroids to non-structural problems such as hormonal imbalances.

They break down the spectrum of treatments, from non-hormonal options like tranexamic acid and NSAIDs to hormonal therapies including the Mirena IUD and oral contraceptives. Plus, get the lowdown on surgical options like endometrial ablation and hysterectomy for those who need them.

With Mikayla’s results largely normal, our hosts offer practical guidance on choosing the right management strategy based on individual needs and fertility goals. Don’t miss this fast-paced, informative episode packed with actionable insights into managing heavy menstrual bleeding!