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Abnormal Uterine Bleeding Tips

Abnormal Uterine Bleeding

Dr. Nupur Gupta 91% (280 ratings)
MICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Abnormal Uterine Bleeding

Abnormal uterine bleeding, formerly known as dysfunctional uterine bleeding, is vaginal bleeding that cannot be related to pelvic injuries, miscarriage, pregnancy or menstrual cycle.

Symptoms:

  1. The cycle changes and the bleeding become heavier.

  2. Bleeding lasts for 7 days or more.

  3. A tender or dry vagina.

  4. Abnormal mood swings.

  5. Hot flashes.

  6. Nausea.

  7. Excessive body hair, especially on the back, chest and face.

Causes:

  1. The ovaries do not release an egg.

  2. Changes in the hormone level.

  3. Lower levels of oestrogen or progesterone.

  4. Thickening of the uterine wall in women above 40 years of age.

  5. Certain birth control pills can also cause abnormal bleeding.

  6. Some women also complain of abnormal bleeding in their first few weeks of pregnancy.

Diagnostic Procedure:

  1. The physician first checks the haemoglobin levels of the woman.

  2. An ultrasound of the pelvic region is done to check for physical injuries.

  3. Sometimes, an endometrial biopsy (the doctor checks a sample of the endometrium, which is the lining of the uterus) is also used to test the condition of the uterine lining.

  4. Hysteroscopy, using a hysteroscope, is used to test the insides of the uterus. A hysteroscope is a thin tube that is inserted into the vagina for the examination of cervix as well as the insides of the uterus.

Treatment:

  1. Younger women in the range of 18-23 years of age are usually treated using low doses of birth control pills.

  2. Oestrogen therapy is used.

  3. Painkillers such as ibuprofen are also prescribed before the beginning of the menstrual periods.

  4. The increase of ‘progesterone’ through IUD. An IUD (intrauterine device) is a contraceptive device that is inserted into the uterus.

  5. Cyclic hormone therapy is given to women above 40 years of age (Progesterone is administered in a periodic interval, usually about 4 weeks).

  6. Women considering pregnancy are recommended hormone therapy to increase ovulation.

  7. Anaemic women are given iron supplements.
3991 people found this helpful

Abnormal Uterine Bleeding - Causes and Treatments!

Dr. Veena Vidyasagar 96% (562 ratings)
Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Abnormal Uterine Bleeding - Causes and Treatments!

Are you experiencing abnormal uterine bleeding? The term Abnormal uterine bleeding is used when the menstrual period doesn't conform to normal pattern. Any menstrual cycle, which has interval of less than 21 days or longer than 35 days, the duration is less than 2 days or more than 7 days, the flow is more or less than normal and there is bleeding apart from the menstrual period is an abnormal form of uterine bleeding

Causes of Abnormal Uterine Bleeding: 
The various causes of abnormal uterine bleeding are as follows: 

  1. One of the main causes is hormonal imbalance, as the balance between female hormones, estrogen and progesterone gets disrupted. This balance is required for the regulation and development of endometrium (lining of uterus). Proper development of endometrium is disrupted because of the hormonal imbalance resulting in abnormal bleeding. 
  2. Uterine fibroids, which are non cancerous tumours, may lead to prolonged and excessive uterine bleeding. 
  3. Polyps are small benign developments on the uterus lining which cause abnormal bleeding. They mostly occur because of hormonal imbalance. 
  4. Adenomyosis is a condition which develops when the endometrial glands get embedded in the uterine muscle, leading to excessive uterine bleeding and pain during menstruation
  5. Using intrauterine devices or IUDs also may cause abnormal uterine bleeding. Uterine cancers, ovarian cancers and cervical conditions may be responsible as well. 
  6. Inherited bleeding disorder is another likely cause. 
  7. Several drugs e.g. some painkillers, drugs used to curb inflammation and drugs used in coagulation disorders can cause abnormal uterine bleeding. 
  8. Medical conditions such as pelvic inflammatory disease, endometriosis, liver and kidney disease or thyroid problems can also cause abnormal uterine bleeding. 
  9. One should exclude Ectopic pregnancy during management of Abnormal uterine bleeding. 

Treatment: 
Treatment of abnormal uterine bleeding, depends upon the cause of bleeding and the patient’s age. 

  1. Medications: Several medicines are used for the treatment of abnormal uterine bleeding. Hormonal medicines and birth control pills are used to improve the regularity of periods. There are some haemostatic drugs which can be used to manage excessive uterine bleeding. 
  2. Surgery: In many cases, a woman has to undergo a surgery for the removal of polyps and fibroids, which cause excessive bleeding. Certain fibroids are removed via hysteroscopy. Other methods are by laparoscopy and by laparotomy ( by opening of abdomen). 
  3. Endometrial ablation: Endometrial ablation can be carried out to manage the bleeding. This treatment aims at permanent reduction of the excess bleeding. Hysterectomy has to be carried out when other treatments are unsuccessful. This is a major surgery and after it, a woman will no longer have periods. 

In case of abnormal uterine bleeding, you must consult a doctor as soon as possible. This will enable early treatment and prevent the development of further complications.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2662 people found this helpful

Abnormal Uterine Bleeding - How Best to Diagnose It?

Dr. Astha Dayal 90% (36 ratings)
Fellowship and Diploma in Laparoscopic Surgery, FOGSI Advanced Infertility Training, MD - Obstetrics & Gynaecology, MBBS, MRCOG
Gynaecologist, Gurgaon
Abnormal Uterine Bleeding - How Best to Diagnose It?

It is perfectly normal for women to experience the periodic monthly bleeding cycle. However, if a woman experiences uterine bleeding which is abnormal and dysfunctional, it could be a symptom of infection. Other causes of abnormal uterine bleeding include hormonal imbalance, infection in cervix and cancer of the uterus. Many women can also experience abnormal uterine bleeding during first trimester of pregnancy.

The following are considered to be abnormal or dysfunctional uterine bleeding:

  1. A menstrual cycles occurs between 21 to 35 days, anything shorter or longer than this is abnormal
  2. No period for 3–6 months (amenorrhea) is abnormal
  3. Spotting or bleeding between periods
  4. Spotting or bleeding after intercourse
  5. Bleeding that is heavier or lasts longer than usual
  6. Spotting or bleeding after menopause

What can cause such a situation?

Some of the common causes leading to abnormal bleeding are as follows:

  1. Miscarriage
  2. Ectopic pregnancy
  3. Pregnancy
  4. Cervical or uterine infections
  5. Fibroids
  6. Hormonal imbalances
  7. Problems with blood clotting
  8. Polyps
  9. Polycystic ovarian
  10. Endometrial hyperplasia
  11. Cancer of the reproductive tract

How to Diagnose it?

Most women tend to ignore abnormal bleeding, taking it as something to do with age or hormones. A detailed physical examination and history is done to understand menstrual cycle patterns and family history. In addition, the following would be used.

  1. Ultrasound: The pelvic organs are examined through sound waves to locate the problem area
  2. Hysteroscopy: Through a thin device that is inserted into the vagina, the doctor takes a look at the inside of the organs and identify the cause for the bleeding
  3. Endometrial biopsy: The uterine lining tissue is removed and examined under microscope to look for tissue changes that could be causing the bleeding

How Best to Treat It?

This would depend on the reason for the abnormal bleeding. However, in most cases, combinations of the following are useful in treatment.

  1. Hormone replacement can be done depending on the age and gynecological history, the type and the dose of the hormone would be decided upon. These could be in the form of tablets, vaginal creams, injections, or through an intrauterine device
  2. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are useful in reducing bleeding and controlling cramps during excessive menstrual bleeding.
  3. Antibiotics may be useful if there is infection of the pelvic organs.
  4. Polyps, cysts, cancers, and other growths can be removed via hysteroscopy and sent for biopsy to confirm they are not cancerous.
  5. Endometrial ablation where the endometrial tissue is treated with heat can be used to control bleeding permanently.
  6. Hysterectomy would be done if other forms of treatment have failed. This could depend on their gynecologic history and other considerations as she cannot get pregnant after this.

Do not ignore if you see a change in the pattern of your uterine bleeding. It definitely calls for medical attention and if identified early, can be managed in much simpler ways. If you wish to discuss any specific problem, you can consult a gynaecologist.

4117 people found this helpful

Diagnosis And Treatment Of Abnormal Uterine Bleeding!

Dr. Archana Gupta 84% (10 ratings)
MBBS, Post Graduate Diploma In Sonography Obs - Gynae & Abdomen
Gynaecologist, Delhi
Diagnosis And Treatment Of Abnormal Uterine Bleeding!

Any kind of bleeding from the uterus, which is not normal, can be termed as abnormal uterine bleeding. This refers to bleeding between periods or before periods, bleeding after having sex, spotting, abnormally heavy bleeding or bleeding after attaining menopause. If you are suffering from any of these issues, you need to check with the doctor. 

Diagnosis
It is very important to diagnose abnormal uterine bleeding. There are several examinations and tests that have to be carried out, depending on age. For irregular spotting, a pregnancy test can be undertaken in case you think you could be pregnant. If your uterine bleeding is very heavy, a test has to be performed to check blood count. This is done to observe whether you have anemia. An ultrasound test of the pelvic region will also be advised by your doctor to know the cause of the bleeding. Several hormonal tests and thyroid function tests are required as well.

Other diagnostic tests include:

  1. Sonohysterography: When fluid is placed within the uterus and ultrasound images of the uterus are taken. An image of the pelvic organs is obtained.
  2. Hysteroscopy: It can be carried out when a device is inserted via the vagina and enables the doctor to examine the uterus internally.
  3. Magnetic resonance imaging: This is also used to get images of the organs.
  4. Endometrial biopsy:  It involves insertion of a catheter to take out a tissue which is microscopically observed. 

Treatment
There are different types of treatment for abnormal uterine bleeding depending upon factors such as the cause of bleeding and the age of the patient.

  1. Medications: Several medicines are used to treat abnormal uterine bleeding. Sometimes hormonal medicines are used. Birth control pills are also used to improve the regularity of periods. Hormonal infections, vaginal creams and an IUD device releasing hormone can be used. Non steroidal anti-inflammatory drugs are also used to control bleeding. Several antibiotics may also be prescribed.
  2. Surgery: In some cases of abnormal uterine bleeding, a woman has to undergo a surgery for the removal of growth such as polyps and fibroids, which results in bleeding. While some fibroids can be removed via hysteroscopy, others require different techniques for treatment.
  3. Endometrial ablation: It can be undertaken to control bleeding. This mode of treatment aims at reducing the bleeding permanently. In case all treatment methods fail, hysterectomy has to be carried out. This is a serious surgery and after it is performed, a woman does not have periods anymore and will not be able to conceive a child.

Abnormal uterine bleeding is a serious health condition, which may lead to severe complications. Immediate diagnosis and appropriate treatment methods should be undertaken in case of any abnormal uterine bleeding.

3427 people found this helpful

How Can Hysteroscopic Treatment Help You With Abnormal Uterine Bleeding?

Dr. Vidya Patil 83% (35 ratings)
MBBS, MD - Obstetrics & Gynaecology, DNB - Obstetrics and Gynecology
Gynaecologist, Mumbai
How Can Hysteroscopic Treatment Help You With Abnormal Uterine Bleeding?

Abnormal uterine bleeding, also known as AUB, is one of the most common causes requiring gynecologic evaluation. Hysteroscopy is a procedure wherein a thin camera called hysteroscope is introduced into the uterus via the vagina and this light helps in a thorough examination of the uterus. In cases where there are cysts or fibroids or even cancerous growths, this is used to get more details on the lesions. However, hysteroscopy also has a therapeutic use in that it is used to treat conditions like abnormal uterine bleeding. Read on to know more about AUB and how hysteroscopy helps in treatment. 

Causes of Abnormal Uterine Bleeding: Vaginal bleeding that occurs more often than 21 days and farther apart than 35 days is known as abnormal uterine bleeding. The bleeding is also abnormal if it lasts longer than 7 days and more than 80 mL of blood is lost during each cycle. 

Some causes include: 

  1. Hormonal imbalance 
  2. Cancer 
  3. Uterine polyps 
  4. Uterine fibroids 
  5. Cervical infections 

Diagnosis/Treatment: 

When a woman has abnormal bleeding, further diagnosis is required to confirm the exact cause of the bleeding. This is where the hysteroscopy comes into the picture. Hysteroscopy, literally translates to viewing the uterus from inside directly through a camera. 

How it is done: 

Hysteroscopy is done as an outpatient procedure and normally takes about 3 to 4 hours. General or spinal anesthesia may be used depending on complexity and overall patient health. The uterus is filled with a fluid like saline or glycerin and a thin lighted instrument called the hysteroscope is inserted through the vagina, up the cervix, and into the uterus. This tube is flexible and so can be moved across the uterus to identify any areas of abnormality. It also has a camera and so can be used to take pictures of suspicious areas. 

Causes for infertility may also be detected using hysteroscopy. Small knives can also be used to remove the lesion like fibroid or polyp. These are often the cause of abnormal bleeding. Samples can also be taken for biopsy to confirm if any cancerous growth is detected.

Hysteroscopy is a safe and effective way to examine the cervical canal and uterine cavity. It is better to accompany D&C with hysteroscopy instead of going for blind dilatation and curettage, especially in women who are peri or premenopausal. Hysteroscopy is a safe procedure if done by a doctor, specialised in gynecological endoscopy and helps in both diagnosis and treatment of abnormal uterine bleeding.

4160 people found this helpful

Abnormal Uterine Bleeding - How Hysteroscopic Treatment Can Help?

MD - Obstetrtics & Gynaecology, MBBS, Diploma In Specialised Advanced Gynaecological Endoscopy
Gynaecologist, Delhi
Abnormal Uterine Bleeding - How Hysteroscopic Treatment Can Help?

Abnormal uterine bleeding, also known as AUB, is one of the most common causes requiring gynecologic evaluation. Hysteroscopy is a procedure wherein a thin camera called hysteroscope is introduced into the uterus via the vagina and this light helps in a thorough examination of the uterus. In cases where there are cysts or fibroids or even cancerous growths, this is used to get more details on the lesions. However, hysteroscopy also has a therapeutic use in that it is used to treat conditions like abnormal uterine bleeding. Read on to know more about AUB and how hysteroscopy helps in treatment. 

Causes of Abnormal Uterine Bleeding: Vaginal bleeding that occurs more often than 21 days and farther apart than 35 days is known as abnormal uterine bleeding. The bleeding is also abnormal if it lasts longer than 7 days and more than 80 mL of blood is lost during each cycle. 

Some causes include: 

  1. Hormonal imbalance 
  2. Cancer 
  3. Uterine polyps 
  4. Uterine fibroids 
  5. Cervical infections 

Diagnosis/Treatment: 

When a woman has abnormal bleeding, further diagnosis is required to confirm the exact cause of the bleeding. This is where the hysteroscopy comes into the picture. Hysteroscopy, literally translates to viewing the uterus from inside directly through a camera. 

How it is done: 

Hysteroscopy is done as an outpatient procedure and normally takes about 3 to 4 hours. General or spinal anesthesia may be used depending on complexity and overall patient health. The uterus is filled with a fluid like saline or glycerin and a thin lighted instrument called the hysteroscope is inserted through the vagina, up the cervix, and into the uterus. This tube is flexible and so can be moved across the uterus to identify any areas of abnormality. It also has a camera and so can be used to take pictures of suspicious areas. 

Causes for infertility may also be detected using hysteroscopy. Small knives can also be used to remove the lesion like fibroid or polyp. These are often the cause of abnormal bleeding. Samples can also be taken for biopsy to confirm if any cancerous growth is detected.

Hysteroscopy is a safe and effective way to examine the cervical canal and uterine cavity. It is better to accompany D&C with hysteroscopy instead of going for blind dilatation and curettage, especially in women who are peri or premenopausal. Hysteroscopy is a safe procedure if done by a doctor, specialised in gynecological endoscopy and helps in both diagnosis and treatment of abnormal uterine bleeding. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

3799 people found this helpful

How Hysteroscopic Treatment Can Help In Treating Abnormal Uterine Bleeding?

Dr. Amrita Saha 86% (16 ratings)
MBBS, MD / MS - Obstetrics & Gynaecology
Gynaecologist, Kanpur
How Hysteroscopic Treatment Can Help In Treating Abnormal Uterine Bleeding?

Abnormal uterine bleeding, also known as AUB, is one of the most common causes requiring gynecologic evaluation. Hysteroscopy is a procedure wherein a thin camera called hysteroscope is introduced into the uterus via the vagina and this light helps in a thorough examination of the uterus. In cases where there are cysts or fibroids or even cancerous growths, this is used to get more details on the lesions. However, hysteroscopy also has a therapeutic use in that it is used to treat conditions like abnormal uterine bleeding. Read on to know more about AUB and how hysteroscopy helps in treatment. 

Causes of Abnormal Uterine Bleeding: Vaginal bleeding that occurs more often than 21 days and farther apart than 35 days is known as abnormal uterine bleeding. The bleeding is also abnormal if it lasts longer than 7 days and more than 80 mL of blood is lost during each cycle. 

Some causes include: 

  1. Hormonal imbalance 
  2. Cancer 
  3. Uterine polyps 
  4. Uterine fibroids 
  5. Cervical infections 

Diagnosis/Treatment: 

When a woman has abnormal bleeding, further diagnosis is required to confirm the exact cause of the bleeding. This is where the hysteroscopy comes into the picture. Hysteroscopy, literally translates to viewing the uterus from inside directly through a camera. 

How it is done: 

Hysteroscopy is done as an outpatient procedure and normally takes about 3 to 4 hours. General or spinal anesthesia may be used depending on complexity and overall patient health. The uterus is filled with a fluid like saline or glycerin and a thin lighted instrument called the hysteroscope is inserted through the vagina, up the cervix, and into the uterus. This tube is flexible and so can be moved across the uterus to identify any areas of abnormality. It also has a camera and so can be used to take pictures of suspicious areas. 

Causes for infertility may also be detected using hysteroscopy. Small knives can also be used to remove the lesion like fibroid or polyp. These are often the cause of abnormal bleeding. Samples can also be taken for biopsy to confirm if any cancerous growth is detected.

Hysteroscopy is a safe and effective way to examine the cervical canal and uterine cavity. It is better to accompany D&C with hysteroscopy instead of going for blind dilatation and curettage, especially in women who are peri or premenopausal. Hysteroscopy is a safe procedure if done by a doctor, specialised in gynecological endoscopy and helps in both diagnosis and treatment of abnormal uterine bleeding. In case you have a concern or query you can always consult an expert & get answers to your questions!

2319 people found this helpful

Abnormal Uterine Bleeding - 3 Ways to Treat it!

Dr. Sushma Baxi 92% (373 ratings)
MD, MBBS
Gynaecologist, Vadodara
Abnormal Uterine Bleeding - 3 Ways to Treat it!

Any kind of bleeding from the uterus, which is not normal, can be termed as abnormal uterine bleeding. This refers to bleeding between periods or before periods, bleeding after having sex, spotting, abnormally heavy bleeding or bleeding after attaining menopause. If you are suffering from any of these issues, you need to consult with the doctor. 

Diagnosis
It is very important to diagnose abnormal uterine bleeding. There are several examinations and tests that have to be carried out, depending on age. For irregular spotting, a pregnancy test can be undertaken in case you think you could be pregnant. If your uterine bleeding is very heavy, a test has to be performed to check blood count. This is done to observe whether you have anemia. An ultrasound test of the pelvic region will also be advised by your doctor to know the cause of the bleeding. Several hormonal tests and thyroid function tests are required as well.

Other diagnostic tests include:

  1. Sonohysterography: When fluid is placed within the uterus and ultrasound images of the uterus are taken. An image of the pelvic organs is obtained.
  2. HysteroscopyIt can be carried out when a device is inserted via the vagina and enables the doctor to examine the uterus internally.
  3. Magnetic resonance imaging: This is also used to get images of the organs.
  4. Endometrial biopsy:  It involves insertion of a catheter to take out a tissue which is microscopically observed. 

Treatment
There are different types of treatment for abnormal uterine bleeding depending upon factors such as the cause of bleeding and the age of the patient.

  1. Medications: Several medicines are used to treat abnormal uterine bleeding. Sometimes hormonal medicines are used. Birth control pills are also used to improve the regularity of periods. Hormonal infections, vaginal creams and an IUD device releasing hormone can be used. Non steroidal anti-inflammatory drugs are also used to control bleeding. Several antibiotics may also be prescribed.
  2. Surgery: In some cases of abnormal uterine bleeding, a woman has to undergo a surgery for the removal of growth such as polyps and fibroids, which results in bleeding. While some fibroids can be removed via hysteroscopy, others require different techniques for treatment.
  3. Endometrial ablation: It can be undertaken to control bleeding. This mode of treatment aims at reducing the bleeding permanently. In case all treatment methods fail, hysterectomy has to be carried out. This is a serious surgery and after it is performed, a woman does not have periods anymore and will not be able to conceive a child.

Abnormal uterine bleeding is a serious health condition, which may lead to severe complications. Immediate diagnosis and appropriate treatment methods should be undertaken in case of any abnormal uterine bleeding.

2639 people found this helpful

Abnormal Uterine Bleeding - 5 Common Reasons Behind It!

Dr. Bhavna Mehta 92% (42 ratings)
DGO, MBBS
Gynaecologist, Chennai
Abnormal Uterine Bleeding - 5 Common Reasons Behind It!

A uterus has 2 layers the one with a thin layer is known as the endometrium and the thick outer layer is known as myometrium. Menstruation occurs after every 10-14 days post the ovulation. In a normal menstruation cycle, the wall of the endometrium thickens as part of the preparation process of pregnancy. In a normal scenario, the endometrium wall sheds if a woman does not conceive. While doing this the uterus might shed some blood. However, if the bleeding becomes erratic and in higher frequencies, the condition is termed as abnormal uterine bleeding.

Here is a list of reasons for abnormal uterine bleeding:

  1. Young girls: Any bleeding before the first menstrual cycle is termed as abnormal. The bleeding might happen due to trauma, the intervention of a foreign object, problems related the urinary tract, irritation of the uterus etc. Bleeding might also occur due to sex abuse. A qualified gynaecologist would be able to diagnose the exact cause for this condition.
  2. Adolescents: After the first menstrual cycle, there could be fluctuation in the subsequent menstrual cycle accompanied with excess bleeding from the uterus. This is a condition which is treatable and normalises once the ovulation and the hormonal cycle stabilises. However, if the bleeding persists in after 3-4 menstrual cycle, a doctor has to be consulted.
  3. Premenopausal women: There could be a variety of reasons for more than normal bleeding in women between menopause and adolescence. Some of the common reasons are hormonal changes and hormonal therapy for birth control. For women who fail to ovulate regularly can experience conditions such as endometrial polyps, uterine fibroids and uterine adenomyosis leading to excess bleeding from the uterus. Some other common factors of uterine bleeding include cervix infection, pregnancy, cervical cancer, disorders related to clotting, certain illnesses related to the kidney and liver.
  4. Hormonal birth control: Women taking help of hormonal birth control can experience breakthrough bleeding. This often occurs due to changes in the uterus lining. If the bleeding from the uterus persists for few months at stretch, a different birth control pill should be tried. Bleeding can also occur due to due to irregular consumption of birth control pills. If the situation does not improve, it is wise to consult a doctor to get the condition addressed.
  5. Menopausal transition: Towards the end of the menstrual cycle, the period timings become irregular. While the secretion of the oestrogen continues the progesterone flow declines. This phase is known as perimenopause. The sudden hormonal changes lead to an excess fluid secretion by the walls of the endometrium. The whole process can lead to an excess bleeding from the uterus. Even using birth control pills during this phase can lead to excess bleeding. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
2431 people found this helpful

3 Ways to Treat Abnormal Uterine Bleeding!

Dr. Shaivalini Kamarapu 90% (307 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Hyderabad
3 Ways to Treat Abnormal Uterine Bleeding!

Any kind of bleeding from the uterus, which is not normal, can be termed as abnormal uterine bleeding. This refers to bleeding between periods or before periods, bleeding after having sex, spotting, abnormally heavy bleeding or bleeding after attaining menopause. If you are suffering from any of these issues, you need to check with the doctor. 

Diagnosis
It is very important to diagnose abnormal uterine bleeding. There are several examinations and tests that have to be carried out, depending on age. For irregular spotting, a pregnancy test can be undertaken in case you think you could be pregnant. If your uterine bleeding is very heavy, a test has to be performed to check blood count. This is done to observe whether you have anemia. An ultrasound test of the pelvic region will also be advised by your doctor to know the cause of the bleeding. Several hormonal tests and thyroid function tests are required as well.

Other diagnostic tests include:

  1. Sonohysterography: When fluid is placed within the uterus and ultrasound images of the uterus are taken. An image of the pelvic organs is obtained.
  2. HysteroscopyIt can be carried out when a device is inserted via the vagina and enables the doctor to examine the uterus internally.
  3. Magnetic resonance imaging: This is also used to get images of the organs.
  4. Endometrial biopsy:  It involves insertion of a catheter to take out a tissue which is microscopically observed. 

Treatment
There are different types of treatment for abnormal uterine bleeding depending upon factors such as the cause of bleeding and the age of the patient.

  1. Medications: Several medicines are used to treat abnormal uterine bleeding. Sometimes hormonal medicines are used. Birth control pills are also used to improve the regularity of periods. Hormonal infections, vaginal creams and an IUD device releasing hormone can be used. Non steroidal anti-inflammatory drugs are also used to control bleeding. Several antibiotics may also be prescribed.
  2. Surgery: In some cases of abnormal uterine bleeding, a woman has to undergo a surgery for the removal of growth such as polyps and fibroids, which results in bleeding. While some fibroids can be removed via hysteroscopy, others require different techniques for treatment.
  3. Endometrial ablation: It can be undertaken to control bleeding. This mode of treatment aims at reducing the bleeding permanently. In case all treatment methods fail, hysterectomy has to be carried out. This is a serious surgery and after it is performed, a woman does not have periods anymore and will not be able to conceive a child.

Abnormal uterine bleeding is a serious health condition, which may lead to severe complications. Immediate diagnosis and appropriate treatment methods should be undertaken in case of any abnormal uterine bleeding. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

5012 people found this helpful
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