Abnormal uterine bleeding, also known as dysfunctional uterine bleeding, is vaginal bleeding that cannot be related to pelvic injuries, miscarriage, pregnancy or menstrual cycle. It is a heavy flow of the blood between the periods of a women. Some of the symptoms of this disease are: the cycle changes and the bleeding of the uterine become heavier, if the bleeding lasts for 1 week or more, if there is tenderness or dryness of vagina, abnormal mood swings, hot flashes, nausea, menstrual cycles that are longer than 38 days or shorter than 24 days and if there is bleeding after menopause . Uterine bleeding may also occur due to hormonal imbalance.
The causes can vary from person to person. It can be caused due to fibroids, endometrial hyperplasia, due to bleeding disorders, due to miscarriages, due to ectopic pregnancy and due to cancer of uterus. It is also caused by endometrioses in women of the age group of above 50 years or those who have reached menopause.
There are various treatment options for abnormal uterine bleeding. The treatment depends on the cause of bleeding, woman’s age, and whether the woman want to get pregnant in the future. The doctor will help her decide which treatment is right for her. Or, if the doctor decides that a hormone imbalance is causing abnormal bleeding, woman and her doctor may decide to wait and see if the bleeding improves on its own. The diagnosis is done through the examination of the symptoms and through physical examination.
The doctors will also ask about the patient about overall health and give her a physical examination. The doctor may ask probably to get a pregnancy test, and others tests which may include:
Some of the treatments available to treat uterine bleeding are as follows:
The doctor can do endometrial ablation in several different ways. New types of endometrial ablation techniques do not require general anaesthesia or a hospital stay. The recovery time after this procedure is shorter than hysterectomy.
A woman is eligible for treatment if she experiences some or all of the symptoms associated with abnormal uterine bleeding. Some of the symptoms are spotting or bleeding between periods from the vagina, irregular or frequent periods, and heavy bleeding due to large clots. A person may suffer from abnormal uterine bleeding if the bleeding lasts for more than seven days or for a period longer than what is normal. Uterine bleeding may also occur due to hormonal imbalance. The symptoms that are associated with hormonal imbalance include excessive growth of body hair, hot flashes, mood swings and tenderness and dryness of the vagina.
A woman is eligible for surgical procedures only if her condition is serious and if she has not experienced any tangible benefits from medicines. However, a person will only be eligible for treatment if she experiences some or all of the symptoms associated with abnormal uterine bleeding and has been properly diagnosed by a doctor.
Some of the side effects of the treatment are as follows:
The post treatment guideline after uternie bleeding treatment are that:
A woman will generally recover from the effects of endometrial ablation within a week or more. However, a doctor might advise her to refrain from activities that involves physical strength and also lifting any weights. She should also stop having sex and using sanitary napkins for the time being. A person requires at least 4 to 6 weeks to recover from hysterectomy. In this case too, a person is advised not to indulge in any activities that involves physical strength and not to lift any weights. Any type of treatment undertaken for abnormal uterine bleeding requires a regular follow-up with the doctor and the guidelines that are recommended by doctor should be followed. For some patients the doctor may advise to avoid having sex.
The recovery time for the patient shall vary from the treatment opted and the condition of the women. If the treatment is based on hormones pills and medication then the medication can be for 15 to 3 months and thus the patient shall see recovery from heavy flow within few weeks. It takes about 4 to 6 weeks for a woman to resume with her normal activities after the surgery. A person undergoing endometrial ablation will take 1 week to recover. If she has undergone the dilation and curettage treatment then she may take some time to recover.
The treatment costs varies from one city to another in the country. The cost of hysterectomy in India varies from Rs.180000 to Rs.220000. Installation cost of an intrauterine device is something around Rs.10000 in India. Endometrial dilation is more expensive and the average price of the procedure is close to Rs.200000. However, in some cases, it can goes up to more than Rs.350000.
The treatment of the uternie bleeding is promising in nature and has proven to provide relief to many womens. Endometrial ablation and Hysterectomy are surgical procedures that require the complete or partial removal of the uterus. These treatments may be a permanent solution for abnormal uterine bleeding problem. The dilation and curettage treatment cannot provide permanent results always. If there is any problem in the uterus the bleeding may start again. Birth control pills are also used to prevent the wall of the uterus from getting heavier. However, this is not a permanent solution as the bleeding might resume once a woman is off the pills.
Alternative treatments available for uterine bleeding are as follows: