Endometrial (a problem with the womb lining)

Facts about Endometrial.

What is it?

This is where the endometrium (lining of the womb) does not function at its best as it is shed and repairs during menstruation.

What are the symptoms?

Heavy and/or prolonged menstrual bleeding

What causes it?

These endometrial problems may be due to a number of reasons. For example, the tiny blood vessels that supply the endometrium may cause heavy blood loss. These vessels should narrow to limit menstrual bleeding. If this does not occur, it may result in heavy, prolonged periods. Alternatively, the inflammation that causes shedding of the endometrium during menstruation may be too strong in those with heavy menstrual bleeding.

How is it diagnosed?

At present, there are no specific tests for endometrial disorders. Some of these factors are being examined as part of research studies, with the aim of developing more personalised treatments for those with heavy menstrual bleeding.

How is it treated? (link to HMB-E medical treatments)

Non-steroidal anti-inflammatory medications (e.g. ibuprofen) taken during menstruation can help if the cause of heavy bleeding is an excessive inflammatory response.

Tranexamic acid is a tablet that can be taken during a period. It helps the blood to clot and reduces the amount of blood lost during menstruation.

Hormonal medications like the contraceptive pill (https://www.nhs.uk/conditions/contraception/combined-contraceptive-pill/) or the intrauterine system  (https://www.nhs.uk/conditions/contraception/ius-intrauterine-system/) can reduce the amount of bleeding during menstruation.

Surgical treatments such as endometrial ablation and hysterectomy may be appropriate for some women who have completed their family.

Further information

https://www.nhs.uk/conditions/heavy-periods/

https://www.nhs.uk/conditions/heavy-periods/treatment/