In many instances women with a variety of menstrual disorders simply choose to have their issue observed. Observation may be appropriate for a woman after some testing –usually minimal–has been performed and the cause of the bleeding is known to be benign. Oftentimes, the simple knowledge that their condition is not a threat to their health is all they wish to know and they don’t necessarily seek or require medical treatment.
For instance, a woman may have heavy bleeding and learn that the change in her periods is the result of one or more small to moderate-sized uterine fibroids. Once she is reassured that these are benign—and not associated with cancer—she may simply wish to be observed and have them checked periodically. In this way, she and her physician can determine whether treatment is indicated at some future point in time. Often—especially in older women—the onset of menopause solves the problem and intervention can be avoided.
Observation cannot be offered to women with known pre-cancerous or cancerous lesions or when bleeding is so heavy that a woman’s health or life is threatened by continuous and sustained blood loss.