020 7935 0189 [email protected]
Heavy and/or irregular bleeding are relatively common problems and there are a number of potential causes most of which are benign and easily treated.

  • Fibroids
  • Endometriosis/adenomyosis
  • Hormonal change
  • Endometrial polyps
  • Infection
  • Breakthrough bleeding with hormonal contraception
  • Less commonly pre-cancerous or cancerous change

Persistent abnormal bleeding should always be investigated and tests may include:

  • Swabs for infection
  • Cervical smear (‘Pap’ test)
  • Pelvic ultrasound scan
  • Hormone blood tests
  • Hysteroscopy (a small telescope is used to check inside the womb)

Treatment will depend on the underlying cause but it’s also very important to consider what impact symptoms are having on quality of life. Where tests are reassuring and symptoms are manageable it may be appropriate to do nothing as often over time menstrual cycles can go back to normal.

Generally options are divided into conservative (which essentially means ‘wait and see’), medical or surgical. In many cases several different treatment approaches may be available and ultimately the option that is most acceptable to you as an individual will be the right choice.


Medical treatments

  • Hormonal contraceptives eg the pill or the Mirena ( a hormone releasing coil)
  • Progesterone taken cyclically
  • Tranexamic acid (non-hormonal treatment which can reduce menstrual blood loss by 50% and is only taken on the days of heavy bleeding)


Surgical treatments

Hysteroscopic surgery – problems like polyps or fibroids within the cavity of the womb can be removed very simply using a small telescope as a daycase procedure

TCRE (sometimes called endometrial resection or ablation) – these procedures are performed in the same way as for treatment of polyps or fibroids but instead to remove or destroy the whole of the lining of the womb. The aim of these procedures is to stop bleeding completely and permanently and are clearly only appropriate for women who have completed their family.

Laparoscopic myomectomy* – surgical removal of fibroids while preserving fertility.

Laparoscopic hysterectomy* – surgical removal of the womb which is a definitive treatment for abnormal bleeding

*Most women who choose major surgery are suitable for a laparoscopic approach (‘keyhole’ surgery with small incisions which allow much faster recovery than traditional ‘open’ surgery). Sadly in the UK many women who could have this less invasive approach are not offered this option due to variation in individual surgeons experience and expertise rather than what is in the best interest of the patient.

Request an appointment

Clinics are three times a week and Gail will help you arrange a time to see Mr Miskry and if necessary a scan on the same day.

If you are pregnant, you can expect to have a number of routine tests and appointments and you can find out more about the schedule of care here.

Appointments can be arranged by phone or email.

Book an Appointment


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    What our patients say about us

    thank you so much for the fantastic care both before, during and after Alice’s birth…we felt in extremely safe and capable hands at the time of her delivery, which was a huge relief. Many, many thanks for your skill and dedication

    thank you for your care, advice and skilful surgery

    you were so reassuring and I really appreciate how patient you were with me always…you made everything so easy

    thank you so much for the medical expertise and all the care you have given us over the last 6 years

    thank you for all of your support, patience, good humour and, above all, exceptional knowledge and skill during the pregnancies and births of our children

    a heartfelt thank you for everything you’ve done…and delivering our precious baby safely. We found you to be extremely professional, caring and reassuring at an extremely difficult time for us

    we will always appreciate the great care and support you have given us through all our pregnancies

    this was a very difficult time for us, often filled with anxiety and worry and we could not have wished for a better obstetrician to guide us through this

    I couldn’t have asked for a better surgeon

    thank you so much! From my first appointment with you to the last you filled me with confidence and made me feel at ease


    These are some of our most commonly asked questions, but you can see all of them here

    Do I need a GP referral for private treatment?

    No. However if you have private medical insurance please check with your insurer as they may require a GP referral in order to provide cover.

    Where does Mr Miskry see patients?

    All clinics are held at 148 Harley Street.

    Where does Mr Miskry perform operations?

    The Lindo Wing, St Mary’s Hospital and King Edward VII’s Hospital.

    If I have a private consultation will this alter my care in the NHS?

    No. Your treatment or position on an NHS waiting list will not be affected by having had a private consultation/surgery.

    Are tests included in my consultation fee?

    Any tests Mr Miskry recommends as part of your care are payable directly to the clinic/lab/hospital where they are carried out and are not part of our fees.