Thomas A. Durnell, MD
Womancare Associates

(304) 424-2088

treatment options for abnormal uterine bleeding can depend on many factors, such as your age group, your current medications, your history with birth control, and your lifestyle (weight, eating habits, exercise, stress levels, etc.). Only a licensed medical professional can make an accurate diagnosis and suggest an effective treatment option, which may include hormone therapy, medication or surgery.

Millions of women experience heavy menstrual bleeding, usually starting in their mid-30s and early 40s. This is not uncommon, as it happens frequently as women approach menopause. These heavy periods are not only inconvenient, but they also can cause fatigue, nausea, abdominal cramps, headaches, depression, mood swings or anxiety.

Our office offers the latest one-time procedure available to alleviate heavy periods – NovaSure®! NovaSure is a 5-minute endometrial ablation procedure where our doctor will remove some or all of your endometrium, a type of tissue that is commonly found on the inside lining of the uterus, that is causing the heavy bleeding. To do this, a slim wand is inserted through your cervix, and a triangular device is opened and expanded to fit accurately inside your uterus. For approximately 90 seconds, our doctor will administer a radio frequency through the device which destroys the endometrium. The triangular device is then folded back inside the thin wand and removed from your body.

To see if NovaSure is right for you, please call our office to schedule a consultation.

For more information on this procedure, please visit the NovaSure website.

Urinary Incontinence

The most common cases of incontinence are caused from the pressure inside the bladder being greater than the pressure of the urethra, which carries urine out of the body. In these cases, patients may experience leakage while coughing, sneezing, running, doing aerobics or other exercises or situations which cause the pressure of the abdomen to increase. Other types of incontinence are caused by the over-activity or weakness of bladder or urethral muscles, urinary tract infections, pelvic problems and neuromuscular disorders. Regardless of the cause, most cases of urinary incontinence can be effectively treated. Recommended treatment options may include changes in behavior or lifestyle, such as reducing caffeine and nicotine intake, losing weight, avoiding heavy lifting or running, etc. Also, there are medications that may help with urinary incontinence, as well as medical devices, surgical procedures, and exercises which can help strengthen urethral muscles. What treatment option(s) may work best for each individual patient will depend on a thorough diagnosis by a medical professional.


When the veins in the rectum or anus are affected by severe pressure, the blood within those veins begins to pool inside the vessels, causing the blood vessels to swell and become painful, a condition known as hemorrhoids. Hemorrhoids are a common condition in the United States, causing itching, burning and irritating sensations around the anal area. Hemorrhoids are also common in pregnant women due to hormonal changes and the position of the fetus. While there are some medications and remedies to help ease the symptoms of hemorrhoids, the best treatment is prevention. Avoid excessive straining during bowel movements and be sure to include enough fiber in your diet.


Throughout your life, your bones are constantly in the process of building up and breaking down. After about age 30, however, more bone material is broken down in a year than built up. Over time, this can lead to the bones becoming frail or brittle, a condition known as osteoporosis. While osteoporosis can affect everyone, it affects females more often, especially after menopause. Ensuring that you get enough calcium and Vitamin D (through supplements, milk, or green, leafy vegetables) is important in staving off osteoporosis, but so is ensuring that you limit your intake of sugar, alcohol, protein, phosphorous and sodium, and also getting enough exercise.

Vaginal Infections

Many vaginal infections derive from an imbalance or irregular behavior of bacteria normally found in the vagina. For example, yeast infections are caused from candida, a fungus typically found in the vagina, which spontaneously begins to multiply and divide. Bacterial vaginosis, however, is caused from an imbalance in vaginal bacteria that is often caused from switching sexual partners. Common symptoms of vaginal infections include itching, burning and conspicuous vaginal discharges. If you suspect you have a vaginal infection, please contact our office for an evaluation.

Common Conditions

Abnormal Uterine Bleeding
Normally, the menstrual cycle will include up to seven days of uterine bleeding, but if your bleeding lasts longer than normal, is heavier than normal or occurs irregularly, this could indicate a problem. Many times, abnormal uterine bleeding is caused by hormonal changes and is not a serious condition, but this is not always the case. The cause, seriousness, and possible 

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