Women's Health Texas – Austin


Learning about heavy menstrual bleeding with Austin OBGYN Dr. Wheeler

Do you have heavy menstrual bleeding and wonder if it’s normal? Dr. Wheeler is here to help you learn more about the symptoms, causes, diagnosis and treatment of the condition, also known as menorrhagia.

What causes heavy menstrual bleeding?

Many different issues cause heavy menstrual bleeding. About one-third of women experience this problem at some time.

According to Dr. Wheeler, “Structural issues like polyps, uterine fibroids, endometrial cancer and adenomyosis, a condition where uterine tissue that normally lines the uterus grows into the musculature of the uterine walls, cause heavy bleeding. Non-structural conditions like irregular ovulation, bleeding disorders, endometriosis, pelvic inflammatory disease and PCOS, or polycystic ovary syndrome also cause abnormal bleeding.”

Women who have miscarriages, ectopic pregnancies and certain medications may also experience problems.

What are the symptoms of menorrhagia?

Heavy menstrual bleeding causes several different symptoms. Here are some questions that Dr. Wheeler asks to figure out whether you have a bleeding issue.

  • How many days did your period last from when the bleeding began until it was over?
  • How often do you experience a flooding or gushing sensation during your period?
  • Do you ever bleed through a pad or tampon in less than two hours?
  • Have you ever had or been treated for anemia?
  • Does anyone in your family have a bleeding disorder?
  • Have you ever had a problem with heavy bleeding after dental procedures?
  • Have you ever been pregnant? If so, did you have any bleeding problems?

Dr. Victoria Wheeler also thoroughly reviews your medical history and medications.

Dr. Wheeler expertly diagnoses and treats abnormally heavy bleeding

Our Austin OBGYN performs a physical exam to see if there are structural issues. Dr. Wheeler combines her findings from the examination with a medical history to help make a diagnosis. Sometimes, she orders further testing like lab work, a pelvic ultrasound or a saline infusion sonohysterography to help find the cause of the bleeding.

Victoria Wheeler MD says, “Medication is the first line treatment, and both hormonal and non-hormonal options are quite effective.” If medication doesn’t help with the problem, some patients benefit from a Mirena® IUD or minimally invasive surgery.

Dr. Victoria Wheeler wants women to understand one vital fact, “Heavy menstrual bleeding is very treatable, and you should not let it interfere with your quality of life.” If you think you have a bleeding problem or any other issue, contact us to make an appointment with our Austin OBGYN.