What is abnormal uterine bleeding?
Abnormal uterine bleeding is bleeding occurring between your monthly period or menstrual flow that is heavier or lasts longer than usual.
Menorrhagia occurs if you bleed enough to soak through one or more sanitary pads or tampons per hour, or if you have bleeding that lasts more than seven days and is considered abnormal uterine bleeding.
A normal menstrual period averages five days and occurs on a 21- to 35-day cycle.
What are the causes of abnormal uterine bleeding?
There are many potential causes of abnormal uterine bleeding that should be investigated by the caring staff at Wendy S. Giles, MD, FACOG. Abnormal uterine bleeding is caused by:
- Fibroids
- Polyps
- Polycystic ovary syndrome
- Hormonal changes during menopause
- Cancer of the cervix or uterus
- Early pregnancy
- Thyroid problems
Abnormal uterine bleeding caused by hormones is considered dysfunctional uterine bleeding and is more common in women approaching menopause and teenagers.
Dr. Giles diagnoses the cause of your abnormal uterine bleeding and advises of treatments required. Bleeding for women in menopause is particularly concerning and you should schedule an appointment right away if this happens.
How is abnormal uterine bleeding diagnosed?
Dr. Giles or her caring medical staff review your medical history and discuss your symptoms. A pregnancy test is performed if there is a chance you are pregnant, as early pregnancy can cause abnormal uterine bleeding.
Your appointment will likely include a pelvic exam, cervix exam, and a Pap smear if necessary. A thyroid test may performed as well, as thyroid function problems may signify problems with ovary function.
If your doctor suspects fibroids, polyps, or cancer, a hysteroscopic exam of the endometrium or a pelvic ultrasound may be performed.
How is abnormal uterine bleeding treated?
Treatment of abnormal uterine bleeding depends on the cause of bleeding. Hormones, such as birth control pills, can control periods and slow endometrium growth. Progestin is prescribed to women who don’t ovulate the same time each month and who experience heavy bleeding.
Fibroids and polyps may require surgical removal. A myomectomy removes fibroids while keeping the uterus intact for women who wish to have children. A hysterectomy is sometimes performed to remove fibroids or as a treatment for cancer in women who no longer wish to have children.
If you experience abnormal uterine bleeding, call Dr. Giles or schedule an appointment online today to determine the cause and necessary treatment.
