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Menstrual Disorders Center

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A Premier Facility to Diagnose, Treat & Solve Problem Periods

The Menstrual Disorders Center is a premier facility, located at the Center for Specialized Gynecology in Celebration, Florida, where a team of highly-trained, world-renowned specialists in the treatment of problematic periods use a collaborative approach to diagnose and eliminate a broad range of problematic period conditions—from the common to complex.

When is a Period a Problem?

It is estimated that 33% of U.S. women, age 13 to 50 who are starting menstrual cycles to premenopausal, suffer from painful, irregular or heavy periods, the main gynecologic, endocrine and hematology symptoms of a menstrual disorder. The symptoms of your bleeding disorder, hormonal imbalance, or anatomical or medical condition causing a problematic period can end with the help of the Menstrual Disorders Center.

Your period doesn’t have to be a problem.

If you are one of the 33% of women who suffer with heavy or irregular menstrual cycles, or one of the 80% who experiences painful periods, the Menstrual Disorders Center can help, period.

Leaders in Menstrual Disorders

Led by board-certified and fellowship-trained gynecologists, the Center confers with other physicians, like hematologists, endocrinologists, gynecologic oncologists, obstetricians and infertility specialists to create a tailor-made solution for women who are suffering with a period that is so problematic that it is diagnosed as a menstrual disorder.

With nearly 50 years of combined research experience, advanced training, non-surgical therapies and minimally-invasive techniques, plus the longest running experience with robot-assisted gynecology surgery, the team at the Menstrual Disorders Center is pioneers in the field of diagnosing, treating and solving problematic periods.

The proven solutions—from mild medications to non-surgical therapies or minimally-invasive surgery—are perfectly crafted for gynecologic, endocrine or hematologic conditions and symptoms, the main categories of menstrual disorders.

Symptoms of a Menstrual Disorder

If being a woman keeps you from functioning freely, you might have a menstrual disorder. As stated, 33% of women, age 13 to 50, are imprisoned by painful, irregular or heavy periods—the most common symptoms of a menstrual disorder. These symptoms, such as cramps, anemia and bloating, aren’t the menstrual disorder themselves; they are only a symptom of the condition of what could be caused by any number of things. Through advanced diagnostics, the team is able to discern if the heavy bleeding is due to something as common as a fibroid or if the bloating is an indication of something more complex, like cancer.

If you have one or a combination of the following symptoms before or during your period, it can indicate a menstrual disorder:

  • Abnormal Uterine Bleeding (AUB)
  • Absence of Menstruation (amenorrhea or anovulatory cycle)
  • Anemia
  • Anxiety
  • Bleeding or Spotting between Periods (metrorrhagia)
  • Bloating
  • Fatigue
  • Headaches or Migraines
  • Heavy Bleeding(menorrhagia)
  • Irregular Period
  • Irritability
  • Light or Infrequent Menstruation (oligomenorrhea)
  • No periods
  • Pain
  • Painful Cramps (dysmenorrhea)
  • Periods Lasting More than 7 Days
  • Soaking Through Pads Hourly
  • Spotting Between Periods

Tests to Diagnose Menstrual Disorders

The only way to solve a menstrual disorder is by properly diagnosing it with one of a variety of diagnostic techniques. It is essential to determine the underlying issue before an accurate diagnosis can be defined.

Beyond the well-woman pelvic exam, there are a litany of tests to pinpoint the most common or complex period problem.

Through tireless research and collaboration, we are able to provide a multitude of diagnostic options, alternative therapies and advanced treatments for menstrual disorders to women with a variety of symptoms—from the mildly irritating to the totally debilitating.

After years of careful and comprehensive research, the most advanced and concise diagnostics are now available, such as the following:

  • Diagnostic Hysteroscopy
  • Genetic Testing
  • Hysteroscopy
  • Labs (blood, cellular and urine sampling)
  • Pelvic Exam
  • Thyroid Tests
  • Ultrasound
  • Well-Woman Exam

What are the Underlying Causes of Menstrual Disorders?

Though each woman’s period is different, there is a specific physiology of a normal menstrual cycle. When this normal balance is interrupted or thrown off, even a little, a menstrual disorder can be the result—caused by a variety of symptoms of one or many of the following:

Physical Disorder or Gynecology Anatomic

An anatomical disorder has to do with a patient’s anatomy or physical structure that can cause spotting between periods or heavy bleeding and could indicate one or more of the following:

  • Cancer
  • Endometriosis
  • Fibroids
  • Hyperplasia
  • Polyps

Hormonal Imbalance/Endocrine

An endocrine disorder has to do with the system of glands, each of which secretes different types of hormones directly into the bloodstream that can cause acne, anemia, fatigue, hair loss, heavy bleeding or no period, moodiness or depression, weight gain or loss, and could indicate one or more of the following:

  • Eating Disorder
  • Thyroid Dysfunction
  • Prolactin Disorder (hyperprolactemia)
  • Polycystic Ovarian Syndrome (PCOS)
  • Premenstrual Dysphonic Disorder (PMDD)
  • Premenstrual Syndrome (PMS)
  • Stress

Bleeding Disorder/Hematologic

A hematologic disorder has to do with the way the body produces, uses and gets rid of blood. A menstrual bleeding disorder can cause heavy bleeding, no bleeding (amenorrhea or an anovulatory cycle, where the ovaries do not release an oocyte), periods that lasts more than 7 days (menorrhagia) and clotting issues, and could indicate one or more of the following:

  • Coagulation Disorder
  • Von Willibrand Disease (hereditary coagulation abnormality)

Treatment Options for Menstrual Disorders

Once the underlying issues causing the menstrual disorder are properly diagnosed, a permanent solution can be selected. As with many of the symptoms, there can be overlap between endocrine and anovulatory causes.  Most anatomical causes can be treated surgically. Endocrine causes need to be treated by fixing the primary disorder with the help of an endocrinologist. Whereas, anovulatory causes are best treated with various contraceptive products (oral birth control pills, shots, inserts, etc.) and are usually selected based on ease of use, personal preference and hormone levels. Bleeding disorders can be evaluated by a hematologist and treatment can consist of various contraceptive options.

By utilizing state-of-the-art technology and groundbreaking diagnostics and therapies—from diagnostic hysteroscopy to medications and from alternative therapeutic techniques to minimally-invasive surgical procedures— no longer are hysterectomies and other invasive surgeries the answer, period.

Depending on the specific symptoms of your menstrual disorder, combined with your age, lifestyle and both family history and medical history, the best treatment option can be explored, such as the following:

  • Antifibrinolytic
  • Endometrial Ablation
  • Genetic Services and Counseling
  • Hormonal Therapies
  • Hysterectomy
  • Hysteroscopic Polypectomy/Myomectomy
  • Hysteroscopic Sterilization
  • Intrauterine Device (IUD)
  • Minimally-Invasive Surgery
  • Myomectomy
  • NSAIDs (non-steroid anti-inflammatory drugs)
  • Oral Contraception
  • Pain Management Techniques
  • Permanent Birth Control
  • Risk-Reducing Surgery
  • Robotic Surgery
  • Tubal Ligations

Expertise Combined, Solutions Discovered & Disorders Dealt With

What ends with one of many solutions, begins with a unique understanding of the physiology of a normal menstrual cycle and the symptoms that indicate a disorder—which can vary greatly by patient and be very common or complex. Our elite team of specialists, including gynecologists, endocrinologists, hematologists and obstetricians take the time to listen, look and learn—utilizing the most advanced diagnostic techniques and treatment options available to properly diagnose and permanently solve problematic period symptoms. No matter how great or small the menstrual disorder, no longer does your period have to be a problem, period!

Learn About the Menstrual Disorders Center

If you are suffering symptoms of a problematic period and think you have a menstrual disorder, our elite team of specialists can discover the origin to successfully eliminate your menstrual disorder. To learn more about the Menstrual Disorders Center at the Center for Specialized Gynecology, contact us or call 407.303.4573 to schedule an appointment.