Specialist consultation · Fibroids & bleeding disorders

Fibroids & bleeding.

Bleeding that is too heavy, too long or too unpredictable drains energy from everyday life — and the causes are often very treatable: fibroids, polyps, hormonal imbalances. Using ultrasound and a careful history we clarify what's going on, and go through every path: from watchful waiting with a plan to medication, IUD and organ-preserving procedures.

A consultation at our practice
Patient

My period is very heavy — when is it too much?

Our doctor

If it dictates your day, it's too much. We check fibroids, thyroid and your iron stores

Patient

Does my uterus have to be removed?

Our doctor

Almost never as a first step. There are medical and organ-preserving options — we'll show you all

~70%
Women · develop fibroids by 50

Most fibroids never cause symptoms — we only treat what bothers you.

Source: Baird et al., Am J Obstet Gynecol 2003
No. 1
most common benign tumour · in women

Fibroids are almost always benign. What matters is location, size and symptoms — not the finding alone.

Iron
the underestimated factor

Heavy bleeding often leads to iron deficiency and exhaustion. We measure it — fatigue is a symptom, not fate.

Latest research

Heavy fibroid bleeding: a tablet instead of surgery

With relugolix combination therapy (Ryeqo®), an oral treatment for heavy fibroid-related bleeding is available. In the LIBERTY 1 and 2 approval trials, around 73% and 71% of women achieved a marked bleeding reduction — patients bled about 84% less on average. Thanks to the built-in add-back therapy, bone density stayed stable for up to two years.

What this means for you: not every fibroid needs surgery. For heavy bleeding there's an effective medical option — we discuss whether it fits your situation and life plans.
Less bleeding on therapy
LIBERTY trials, at 24 weeks
~84% less blood loss
Consultation Reception Practice hallway
Is this for me?

Who is this for?

  • ·Very heavy or prolonged bleeding
  • ·Intermenstrual bleeding
  • ·Known fibroids with symptoms
  • ·Pressure sensation in the lower abdomen
  • ·Exhaustion or anaemia with heavy periods
Process

How it works

1
First appointment · 30 min

History and vaginal ultrasound; blood count and iron status if needed.

2
Lab work · as needed

All options on the table: monitoring, medication, hormonal IUD, organ-preserving procedures.

3
Follow-up · 15 min

Results discussion and your plan — written down, clear, actionable.

Conditions as in our hormone consultation — all details there.

FAQ

What you should know.

Does a fibroid have to be removed?

No. We treat symptoms, not findings. Many fibroids only need monitoring — and if something should be done, we check organ-preserving paths first.

What options are there besides surgery?

Medication, hormonal IUD, structured monitoring with fixed check-ups. Surgery is one option among several — not an automatism.

When is bleeding “too heavy”?

When you have to plan your life around it: changing protection more often than every two hours, changing at night, large clots, exhaustion. Then please get it checked.

Your question not here?Write to us — directly and securely via the online reception. On weekdays we usually reply the same day.

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Results discussion
Results discussion

Fibroids & bleeding — Book an appointment.

Related topics

Organisation

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