Abnormal Uterine Bleeding

Abnormal Uterine Bleeding

What is normal uterine bleeding?

The normal length of a woman’s menstrual cycle is usually 24-35 days. Normal uterine bleeding lasts about a week.

What is considered abnormal bleeding?

Any time outside of a woman’s menstrual cycle that uterine bleeding occurs, it is considered abnormal.
Examples of Menorrhagia (heavy periods) may include:

  • Bleeding or spotting between menstruation
  • Bleeding or spotting after intercourse
  • Heavy bleeding during your period
  • Menstrual cycles longer than 38 days or shorter than 24 days
  • Irregular periods lasting longer than 7 days
  • Post-menopausal bleeding

What causes abnormal bleeding?

  • Fibroids
  • Polyps
  • Adenomyosis
  • Bleeding disorders
  • Problems linked to IUDs or birth control pills
  • Miscarriage
  • Ovulation issues
  • Ectopic pregnancy
  • Uterine Cancer

How is abnormal bleeding diagnosed?

Your OB/GYN will review your menstrual cycle history. This includes the dates, length and flow amount. A physicial exam will also be performed. Blood tests will be done to check blood count and hormone levels to rule out blood diseases. Lastly, pregnancy and STD/SDI checks will be performed.

Additional Tests

Further tests performed to diagnose abnormal bleeding:

  • Ultrasound exam
  • Hysteroscopy
  • Endometrial biopsy
  • Sonohysterography
  • MRI and/or CT Scan

Medications

Medications used to help control abnormal bleeding include:

  • Antibiotics
  • Tranexamic acid
  • Hormonal birth control methods
  • Nonsteroidal anti-inflammatory drugs
  • Gonadotropin-releasing hormone (GnRH) agonists

Procedures

If medication doesn’t help, a surgical procedure may be needed.

  • Endometrial Ablation
  • Uterine Artery Embolization
  • Hysterectomy

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