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Uterine Bleeding: Treatment, Procedure, Cost And Side Effects

What is Uterine Bleeding?

Uterine bleeding is a condition in which any heavy or unusual bleeding from the vagina occurs. It could happen at any time of the monthly cycle include the normal menstrual period. Bleeding during periods is normal, but in case if its heavy or unpredictable that keeps you away from daily activities then it should be treated by the doctor. Diagnose abnormal uterine bleeding doctor will check few things include -

  1. How often you get period & if that cycle time is lesser than three weeks and more than five weeks, then it could be a sign of a problem.
  2. The doctor might also ask about how long your periods last - in case lesser than two days or more than a week could lead to problems.
  3. Doc will also ask how heavy your periods were and how much you bleed usually and this time.
  4. Bleeding after sexual intercourse should be reported to the doctor.

What is the cause of Uterine Bleeding?

Abnormal hormones are the reason for the situation. It happens when specific hormones build up and shed the lining of uterus during ovulation. This condition lead to heavy bleeding during periods. It also spot between periods and lead to irregular periods as well.

Fibroids that are the non cancerous tumors grows between uterus wall are also the reason for uterine bleeding. Apart from that uterine bleeding could also be caused by clotting or bleeding disorders, endometrium, thyroid, infection of cervix, etc.

Uterine bleeding is diagnosed by blood test, ultrasound, biopsy, hysteroscopy etc.

What is the Treatment of Uterine Bleeding?

Treatment of uterine bleeding depends upon the whether you plan to have children or not. In case if you are close to menopause doctor may advise you to wait. Apart from all treatments such as -

Doctor may suggest you to have IUD, which is small plastic device used to stop pregnancy. It also prevents from abnormal vaginal bleeding.

Contraceptive pills - doctor might suggest you the use of contraception pills as it contains hormones that stop the lining of uterus from getting too thick. Its use also keep menstrual cycle on time and reduces cramps.

Apart from all there are few surgical methods which are also suggested by doctors in severe cases such as endometrial ablation, hysterectomy, etc.

Why am I bleeding in the middle of my cycle?

Bleeding between middle of the menstrual cycle is also known as intermenstrual bleeding, spotting and metrorrhagia. It is a condition in which bleeding occurs between normal periods. There are many reasons of bleeding in the middle of the cycle include - stress, vaginal dryness, hormone imbalance, cancer, uterus or cervix growth, and cancer. There are many causes of vaginal bleeding such as hormonal imbalance, dysfunctional ovaries, pregnancy complications, fibroids, infection, diabetes, significant weight gain or loss.

Is it normal to bleed when not on period?

Vaginal bleeding between periods and blood flow is light than it is known as spotting. It has many reasons include hormonal changes such as IUD, vaginal ring, birth control pills, abortion, sexually transmitted infections, injury, menopause, polyps in the cervix, certain cancers, PCOS, fertility problems, oily skin or acne, pain during sex, etc.

What is the color of ovulation spotting?

Color of ovulation spotting is light pink or brownish and it could last for only one or two days. During it, the amount of bleeding is very little and it may have cervical mucus. It is different from implantation bleeding. While there is no exact cause is known for the bleeding during ovulation but there few causes such as low estrogen levels, the thickness of lining are few reasons for it.

How long does spotting cause by sex last ?

It is also known as postcoital bleeding, this kind of condition is uncommon among couples and spotting after sex is not serious. It could be caused by various reasons such as vaginal dryness, infections, vaginal tearing, uterine fibroids, rough sex, and cervical polyps. In rare cases, spotting after sex could also be a symptom of cervical cancer. Usually, minor spotting goes away within an hour or two after sex.

Popular Health Tips

Abnormal Uterine Bleeding

MBBS, Md - Obs & Gynae
Gynaecologist, Faridabad
Abnormal Uterine Bleeding

Menstrual cycles are really hectic for a woman to tackle all the time. Sometimes they result to different abnormalities which can be caused due to a lot of various reasons. But if you are experiencing some serious problems every month then you should visit the doctor and do a checkup. You should never neglect any kind of medical disorder which is often related to your menstrual cycle.

One of the most common problem which many women face is abnormal uterine bleeding. It is a serious problem in which the bleeding from the uterus is longer than expected and can occur at irregular time. You may face bleeding at unusual times and randomly. So it becomes really hectic to manage if you have a hectic schedule.


Abnormal uterine bleeding can be caused due to a variety of reasons. Here are some of the most important of them which affects majority of the women.

● AUB can occur when the female ovaries do not release the egg.
● Thickening of the uterine wall or lining can also result to heavy bleeding at unusual times.
● Uterine polyps may also lead to bleeding.
● If the person is suffering from any cancer which has affected the ovaries, uterus, cervix, or vagina.
● If the women takes hormonal birth control pills.
Infection in the uterus or cervix can also lead to heavy unusual bleeding.

These are the most common causes of AUB which most of the women tend to experience. Now we will have a look at the symptoms of AUB which will help you to identify it.


Abnormal uterine bleeding can be identified if the following symptoms have been experienced.

● If there is heavy bleeding or spotting from the vagina between periods
● If the Periods occur less than 28 days apart or more than 35 days apart.
● If the time period between the periods changes frequently each month.
● The bleeding may last for more days than normal or for more than a week.

So these are the symptoms of AUB which you should be well aware of and if you identify any of them, make sure you visit your doctor or gynaecologist for a checkup.


AUB can possess different risks to the women who are facing it. Even though most women tend to experience it at least once in their lifetime, sometimes it can become really serious and needs to be treated so that it does not affect your health in a negative way. The most common risks which are involved in Abnormal uterine bleeding are -

● If AUB is affecting the woman very frequently and if it is not treated properly, it can result to infertility or the condition which does not let a woman conceive.
● Women can also experience severe anemia due to heavy blood loss.
● Untreated AUB can be really dangerous and can also result to endometrial cancer.

So here are the different information related to Abnormal uterine bleeding which you should know about and if you experience anything serious related to it make sure you visit the doctor immediately.

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Dysfunctional Uterine Bleeding - How To Deal With It?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Dysfunctional Uterine Bleeding - How To Deal With It?

As a woman goes through life, her hormonal levels change quite dramatically and this can be quite impactful. However, sometimes the impact is not a good one! This can be said to be the cause when it comes to dysfunctional uterine bleeding. This sort of bleeding occurs when the levels the hormones are at cause the menstrual cycle of the woman to become erratic.

Understanding the Diagnosis
When it comes to the diagnosis of an issue such as this, the process must include the ruling out of other more serious problems such as fibroids, a miscarriage, or even cancer which has affected the cervix or the uterus of the woman.

Treatment options
A doctor, post-ruling out these situations, will inform the patient, if dysfunctional uterine bleeding is what is being experienced. When it comes to the matter of how dysfunctional uterine bleeding is to be dealt with, it can be said that the best thing which is to be done is to sit down with the doctor and have a comprehensive chat with respect to what the solutions which are available at hand are.

  1. One of these solutions happens to be hormone treatment. However, it is to be kept in mind that this is usually only made use of in order to stop dysfunctional uterine bleeding which is very severe.
  2. If the woman is not experiencing bleeding which is this bad, a good solution could be non-steroidal anti-inflammatory drugs, which are also known by their abbreviation, which is NSAIDs. Drugs such as ibuprofen are used quite widely when it comes to treating the issue of dysfunctional uterine bleeding. That being said, the matter of the best solution is something which is very subjective and the best judge of the same is only the doctor who has been apprised of all the facts which pertain to the case at hand.
  3. It is only in extreme cases that the uterus as a whole is removed, a process which goes by the name of hysterectomy. This sort of solution is only recommended when a woman does not wish to have any more children.
  4. If a woman who has been experiencing the problem of dysfunctional uterine bleeding is aged between the years of 19 and 39, a good and apt solution would be a combination of low dose hormonal contraceptive treatment along with progestin therapy.

A dysfunctional uterine bleeding is something which can mar a woman’s daily life, but it really needs not be the case!

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

2555 people found this helpful

Abnormal Vaginal Bleeding - Reasons Behind It!

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), Certificate of Completion of Training (CCT) - Nephrology, MD - Obstetrtics & Gynaecology, DNB, MBBS
IVF Specialist, Chennai
Abnormal Vaginal Bleeding - Reasons Behind It!

Monthly menstrual cycles become a part of woman’s life after a certain stage. They get accustomed to it and adapt their lifestyle too. However, there could be abnormal vaginal bleeding, which is defined as:
Bleeding that is outside of the menstrual cycle (bleeding outside of the expected dates). This is also known as intermenstrual bleeding or metrorrhagia.

  • Menstrual bleeding that is abnormally low or high as compared to your regular flow
  • Before menarche (before 9 years of age), during pregnancy, or after menopause

Causes: It is important to realise that abnormal vaginal bleeding is only a symptom and not the disease per se. In most women, there are underlying reasons that lead to abnormal bleeding, some of them are listed below.
In some women, ovulation can cause a mid-cycle bleeding, which becomes a pattern for most women, and they know it is nothing to worry about.

  1. Miscarriage or ectopic pregnancy: Vaginal bleeding is the most common symptom of miscarriage and requires immediate medical attention.
  2. Hormonal imbalances: This can be caused due to starting and stopping of birth control pills, thyroid abnormalities, or ovarian malfunctions. This requires investigation and management based on the underlying cause.
  3. Polycystic ovarian syndrome (PCOS): This presence of multiple cysts in the ovaries also has hormonal changes and can cause bleeding in affected women.
  4. Infections: Infections along the gynecologic tract including the vagina, cervix, uterus, fallopian tubes, and ovaries can cause bleeding. Sexually transmitted infections including gonorrhoea and chlamydia are also causes for bleeding
  5. Pelvic inflammatory disease (PID): It can cause inflammation of the entire gynecologic tract and induce bleeding
  6. An abnormally placed intrauterine device (IUD): It can also alter the regular menstrual flow.
  7. Other reasons: Fibroids, endometriosis, cancers of the uterine cavity are other reasons for abnormal vaginal bleeding.

Prevention/Management of vaginal bleeding: Abnormal bleeding requires investigation to find out the underlying cause and needs to be treated accordingly.

  1. Birth control: When using birth control measures, be it pills or patches, expect some bleeding during the first 3 months before things settle down. Similarly, intrauterine devices can cause some bleeding (foreign body effect).
  2. Pregnancy complications: Bleeding during pregnancy requires immediate medical attention. In most cases, it indicates a miscarriage or ectopic pregnancy (where the embryo is planted in the fallopian tubes and not the uterus).
  3. Infections: While STDs can be prevented, once acquired, like other infections, they also require antibiotics and supportive care.
  4. Medical conditions: Be it polycystic ovaries, fibroids, endometriosis, cancer, or PID, all these require detailed investigation and management on a case-to-case basis.

If you experience abnormal vaginal bleeding, do not ignore it and reach out for medical help.

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

2627 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 


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.

3800 people found this helpful

Abnormal Uterine Bleeding - 5 Common Reasons Behind It!

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.
2432 people found this helpful

Popular Questions & Answers

For the past year and a half I have been getting 150 ml Medroxyprogesterone injections every three months. I have since lost my health care and will be unable to receive these injections. I am wanting to find an alternative to this, and have found 10 mg Medroxyprogesterone in pill/tablet form. I didn't know if you would know if these would do the same thing for me.

EMDR, FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), MFSRH , Diploma in psychosexual therapy, Medical diploma in clinical Hypnosis, Diploma in Evidence Based Healthcare, DNB (Obstetrics and Gynecology), MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Pune
no these tablets do not replace Depo Primera Injections. You can choose an alternative long acting contraceptive such as Mirena intrauterine system which will last you 5 years. Another alternative is Implanon which will last you 3 years. These are both cost effective even if you need to pay for them upfront. a cheaper alternative is the combined oral contraceptive pill. you will need a prescription and an initial BP and weight check. The disadvantage is that you need to remember to take the tablet everyday.

My new born baby girl is just 4 days old and I spotted some vaginal bleeding, kindly consider the request, is there anything to worry about?

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Vaginal bleeding in newborn girls is normal ,its due withdrawal of maternal hormones. Just clean it gently and nothing else to be done.
1 person found this helpful

My girlfriend and I had unprotected intercourse on 24th of December and today i.e. 30th of December she experienced light bleeding, for the whole week she experienced really bad cramps which usually didn't last long they will just come and go. I want to ask if the bleeding that occurred was actually implantation bleeding or was it just her periods because her last period lasted around 4-5 days and started on 28th of November.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Not really as week before period you will not have any fluid discharge and also abdominal cramp might be due to menstrual cycles however this abdominal cramp is quite common in pregnancy women.
1 person found this helpful

Table of Content

What is Uterine Bleeding?

What is the cause of Uterine Bleeding?

What is the Treatment of Uterine Bleeding?

Why am I bleeding in the middle of my cycle?

Is it normal to bleed when not on period?

What is the color of ovulation spotting?

How long does spotting cause by sex last ?

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Abnormal Uterine Bleeding
Abnormal Uterine Bleeding - Causes and Symptoms
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Symptoms and Treatments for Uterine Bleeding
Here are some treatments and symptoms of uterine bleeding

Symptoms and Treatments for Uterine Bleeding
I m Dr. Sharda Jain, Director of Life Care Centre. I m going to talk today about uterine bleeding.
Uterine bleeding is a very common problem. Every fifth woman after she starts having periods is troubled because of altered heavy bleeding pattern. Now, if she is less than 20 years then, in that particular case, if the cycle is coming less in 21 days and she is bleeding for more than five days and if she does see passage of clots she should, you should not delay it because her haemoglobin is going to dropped out, her studies are going to get suffered, so, please see gynaecologist as early as possible.

Between 20 to 40 years, this time, the bleeding is usually related to pregnancy because these people are married and anytime in case if there is a lapse in using a contraceptive, effective contraception then, in that particular case it is all related to pregnancy. After your doctor s visit and examination a trans-vaginal sonography is done and we find out what is the cause and the treatment is done early.
After 40 years, when the woman has got problems, we have to be worried about it, because at that particular time the chance is we think that they can be uterine malignancy or it can be genital malignancy. Again, it is a very simple procedure.

After doctor s examination, after an ultrasound, opsis, endometrial biopsy is done and that sorts out everything. So, the diagnosis right on the day 1 is done in 90 percent of cases at the end of 48 hours, you find you have a full diagnosis. Sometime the bleeding comes after the stoppage of period that is after menopause and that time we view it just like that it can be, it is cancer unless proved otherwise.
Again, we have to be aggressive here, along with ultrasound, along with endometrial biopsy, hysteroscopy is also done at that particular stage and then we want to find out that there is no underlying malignancy.
Do not ignore the bleeding problem in your wife, in your daughter, in your daughter-in-law.
Seek the doctor s help early.
You can visit us on the site of Lybrate.

Having issues? Consult a doctor for medical advice