Heavy menstrual bleeding is a common gynaecological concern that can affect everyday activities, energy levels and overall quality of life. While some women may experience heavier periods as part of their normal menstrual pattern, a noticeable change in bleeding should not be overlooked. Possible causes include hormonal changes, fibroids, adenomyosis and endometrial polyps, which are growths that develop from the lining of the uterus.
When heavy periods persist, become difficult to manage or occur alongside irregular bleeding, it may be appropriate to consult a gynae Singapore for further assessment. Women who prefer to discuss their symptoms with a female gynae in Singapore can also seek a consultation to understand the possible causes and whether further investigation is needed.
What Are Endometrial Polyps?
Endometrial polyps are growths that develop from the inner lining of the uterus, known as the endometrium. They can vary in size and may occur as a single growth or several polyps within the uterus. Some women with endometrial polyps do not experience any symptoms, while others may notice changes in their menstrual bleeding. These may include heavier periods, prolonged bleeding, spotting between periods or bleeding after menopause.
Although most endometrial polyps are benign, their presence may warrant further assessment depending on factors such as age, symptoms and whether the polyp has changed over time. A gynaecological evaluation can help determine whether monitoring or further investigation is appropriate.
How Endometrial Polyps Can Cause Heavy Periods
Endometrial polyps may contribute to heavier or irregular menstrual bleeding by affecting the normal surface of the uterine lining. Some women may notice that their periods have become heavier, last longer than usual or involve more frequent spotting. However, the presence of heavy menstrual bleeding does not necessarily mean that an endometrial polyp is the cause.
Fibroids, adenomyosis, hormonal changes and other gynaecological conditions can produce similar symptoms. Persistent heavy bleeding can also result in significant blood loss over time, potentially contributing to iron deficiency or anaemia. For this reason, women who notice a persistent change in their menstrual pattern may benefit from a gynaecological assessment to determine the underlying cause rather than assuming that the bleeding is simply part of their normal cycle.
When Should Heavy Periods Be Assessed?
Occasionally having a heavier period may not necessarily indicate an underlying problem, but persistent or noticeable changes in menstrual bleeding may warrant a gynaecological assessment. It is worth paying attention to changes that are affecting your usual routine or are accompanied by other unusual symptoms. Consider arranging a consultation if you experience:
- Periods that are consistently heavier or longer than usual
- Bleeding that interferes with work, exercise, sleep or daily activities
- Spotting or bleeding between periods
- Recurrent bleeding after sexual intercourse
- Bleeding after menopause
- Tiredness, dizziness or shortness of breath that may be associated with significant blood loss
These symptoms can have various causes and do not necessarily indicate an endometrial polyp. A gynaecologist can review your menstrual history, symptoms and relevant health factors to determine whether further investigations are appropriate.
What To Expect During A Gynaecological Assessment
If heavy periods or abnormal bleeding lead to a consultation, the assessment usually begins with a discussion about your symptoms and menstrual history. Your gynaecologist may ask about how long the bleeding lasts, how frequently you need to change sanitary products and whether you experience spotting or bleeding outside your usual periods. Depending on your symptoms and medical history, further assessment may include:
- A review of your menstrual cycle and relevant medical history
- A pelvic examination where appropriate
- An ultrasound scan to assess the uterus and endometrial lining
- Further investigations if an endometrial polyp or another uterine condition is suspected
Ultrasound may help identify abnormalities within the uterus, although the findings need to be considered alongside your symptoms and other clinical information. If an endometrial polyp is suspected, your gynaecologist may discuss whether additional assessment or treatment is appropriate.
Treatment Options For Endometrial Polyps
Treatment for endometrial polyps depends on factors such as symptoms, age, the size and appearance of the polyp, and whether pregnancy is being considered. Not every polyp requires immediate removal. Depending on the circumstances, your gynaecologist may discuss options such as:
- Monitoring: Small polyps that are not causing symptoms may sometimes be monitored, depending on the individual situation.
- Hysteroscopic Polypectomy: A hysteroscope can be used to view the inside of the uterus and remove the polyp through the vagina and cervix, without making an incision in the abdomen.
- Laboratory Examination: Removed polyp tissue may be sent for examination to determine its nature and check for any abnormal changes.
For women experiencing persistent heavy or irregular bleeding, removal may be considered as part of the overall management plan.
Why Individual Assessment Matters
Heavy menstrual bleeding should not automatically be attributed to endometrial polyps, as several gynaecological conditions can cause similar symptoms. A proper assessment can help identify the possible source of the bleeding and determine whether further investigation is needed. Your gynaecologist may consider factors such as:
- Your age and stage of reproductive health
- Changes in your usual menstrual pattern
- The severity and duration of bleeding
- Ultrasound or other investigation findings
- Whether you have symptoms such as pelvic pain or bleeding between periods
- Your pregnancy and fertility plans
Summary
Heavy periods can have different causes, and endometrial polyps are one possible explanation for changes in menstrual bleeding. If your periods have become consistently heavier, prolonged or irregular, a gynaecological assessment can help identify the possible cause and determine whether further investigation or treatment is needed. For concerns about heavy periods, irregular bleeding or possible endometrial polyps, contact our clinic, at:
Aster Gynaecology – Dr Ng Kai Lyn 黄楷伶 | Female Gynaecologist | Women’s Health Specialist | Laparoscopy Specialist Singapore
38 Irrawaddy Rd, #06-58 Mt Elizabeth Novena Specialist Centre, Singapore 329563
Phone: (65) 6635 2100
