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Irregular Bleeding Specialist

Patience Miller, MD -  - Board Certified Obstetrics & Gynecology

Patience Miller M.D., Ob-Gyn

Patience Miller, MD

Board Certified Obstetrics & Gynecology & Health and Wellness Coach located in San Antonio, TX

Many women experience heavy or irregular periods without realizing that these conditions are quite treatable. Patience Miller, MD, OB/GYN, in San Antonio, Texas, is a board-certified physician offering expert care for irregular periods, including medication management and endometrial ablation. Don’t suffer from irregular periods when today’s advanced treatments are often fast and easy. Call today or book a consultation online.

Irregular Bleeding

What is a normal menstrual cycle?

Your period involves a complex series of hormonal events. Over your cycle, the lining of the uterus, which is called the endometrium, builds up in preparation for a potential pregnancy. 

Then, if you’re not pregnant, the lining of the uterus sheds each month. Shedding of the lining causes your menstrual bleeding. 

A normal menstrual cycle lasts between 21-35 days. Your period generally lasts two days to one week. Menstrual bleeding is usually between two and eight tablespoons of blood. This equals up to eight soaked pads per day with an average of about two days of heavy bleeding.

Why are my periods irregular?

Many women experience heavy or irregular periods. What’s more, teens are particularly prone to experience menstrual irregularities, including:

  • Painful periods
  • Heavy periods
  • Absent periods
  • Premenstrual syndrome (PMS) 

The good news: irregular periods are easily treated at the office of Patience Miller, MD, OB/GYN.

What causes irregular periods?

There are scores of possible causes for excessive vaginal bleeding. Some common reasons include:

Uterine fibroids 

Fibroids are usually noncancerous growths on your uterus. Fibroids may cause painful or heavy periods, depending on fibroid size and location.


This is a condition where the lining of your uterus grows outside your uterus. This condition may cause pain, bleeding, and can make it difficult to get pregnant.

Other potential causes include:

  • Ovulation disorders
  • Hormonal birth control
  • Ectopic pregnancy
  • Miscarriage
  • Certain types of cancer

Dr. Miller diagnosis your condition to recommend the appropriate treatment for the source of your irregular period.

How are irregular periods treated?

Dr. Miller typically begins with conservative treatment, such as medications to control the bleeding, including:

  • Anti-inflammatories
  • Drugs to stop your menstrual cycle
  • Medication that stops heavy bleeding
  • Hormonal birth control
  • Antibiotics

In some cases, she recommends endometrial ablation, a no-incision outpatient procedure to destroy the inner lining of your uterus. 

Recovery after endometrial ablation is quick. You can return to work the next day or so. Dr. Miller only recommends this procedure if you’ve completed your childbearing years.

If you have questions about irregular periods and you need sound information that you can really trust, call Patience Miller, MD, OB/GYN, today or book a consultation online.