Thank you very much for you time, this helps tremedously.
Hello,
First you want to make sure you have had an appropriate evaluation for irregular menstruation. This would include ruling out pregnancy, endocrine abnormalities (e.g., thyroid hormone changes), structural lesions within the uterus (like endometrial polyps/fibroids) by office hysteroscopy (i.e., looking inside the uterus with a small camera) or sonohysterogram (instilling saline into the uterus while simultaneously having a ultrasound, considering anovulation (not ovulating monthly) and depending upon your age and risk factors performing an endometrial biopsy to look for abnormal tissue inside the uterus (e.g., endometrial hyperplasia or cancer). With those results proper treatment can be instituted.
Irregular bleeding, depending upon the cause can be managed in different ways ranging from medical hormonal management (e.g., the pill, or the Mirena IUD), minor procedures (e.g., endometrial ablation), or major surgery (e.g., hysterectomy). I agree you should seek out a second opinion to make sure your evaluation has been complete and to hear all of the possible management options.
Best regards,
Dr. Downing