Abnormal Uterine Bleeding (Beyond The Basics): Patient Information – (See “Patient Information

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Some women do not ovulate regularly and may experience unpredictable light or heavy vaginal bleeding.

It can occur at any time in the course of the reproductive years, anovulation is most common when periods first begin and during perimenopause. Nevertheless, some women who ovulate regularly experience excessive blood loss during their periods or bleed between periods. These conditions are common causes of abnormal uterine bleeding. Then, the most common causes of such bleeding are uterine fibroids, uterine adenomyosis, or endometrial polyps. While adenomyosis is a condition in which the lining of the uterus grows into the myometrium, fibroids are benign masses in the muscle layer of the uterus. Fibroids, adenomyosis and polyps can also occur in anovulatory women. Basically, endometrial polyps are fleshy growths of tissue which project into the uterine cavity. Heavy or prolonged menstrual bleeding. Anyway, patient information.

Other causes of abnormal uterine bleeding in premenopausal women include. Breakthrough bleeding can also happen if a hormonal birth control method is forgotten or taken late. In this situation, So there’s a risk that the woman could become pregnant if she has sex.

Women in the menopausal transition are also at risk for other conditions that cause abnormal bleeding, including cancer, infection, and ‘body wide’ illnesses.

This topic review discusses the possible causes of abnormal bleeding, how it’s evaluated, and various treatments that might be recommended. Further evaluation is needed in women with persistent irregular menstrual cycles or an episode of profuse bleeding. With all that said… Abnormal uterine bleeding can be caused by many different conditions.

That said, this article could be updated as needed on our web site. Under normal circumstances, a woman’s uterus sheds a limited percentage of blood during any menstrual period. Bleeding that occurs erratically or excessive regular menstrual bleeding is considered to be abnormal uterine bleeding. It’s a well-known fact that the lining normally stops growing and shedding, after menopause. Endometrial lining is shed in the course of the menstrual period, Therefore in case the woman does not become pregnant. Menstruation occurs 10 to 14 days after ovulation. In women who ovulate and menstruate regularly, the endometrium thickens almost any month in preparation for pregnancy. Any uterine bleeding is considered abnormal, as soon as a woman who ain’t taking hormone therapy enters menopause and the menstrual cycles have ended.

Pregnancy itself can cause abnormal bleeding, Women in the menopausal transition still ovulate most of the time and can become pregnant.

ABNORMAL UTERINE BLEEDING TREATMENT

The treatment of abnormal bleeding is based upon the underlying cause.

Women in perimenopause may use hormonal birth control medications, that can cause breakthrough bleeding.

Throughout the menopausal transition, birth control pills and similar hormonal therapy should be used to regulate the menstrual cycle and prevent excessive growth of the endometrium. Progestins may also be given in other ways, similar to in an injection, an implant, or an intrauterine device. These treatments are discussed in detail in a separate topic review.

Progestinreleasing IUDs decrease menstrual blood loss by more than 50 percent and decrease pain associated with periods.

Hysterectomy might be performed by conventional laparoscopy or robotic laparoscopy, through the vagina, or by an open incision on the abdomen. At the time of hysterectomy, the ovaries might be left in place or removed. Women with fibroids can have surgical treatment of their fibroids, either by removing the fibroid or by reducing the blood supply of the fibroids. Some women completely stop having menstrual bleeding because of the IUD, that is reversible when the IUD is removed. So, more information about these treatments is available separately. I’m sure that the most definitive surgical treatment for abnormal uterine bleeding is hysterectomy, or removal of the entire uterus.

WHERE TO GET MORE INFORMATION

Your healthcare provider is top-notch source of information for questions and concerns about your medical problem. Some most probably will occur at a particular time in a woman’s life, cAUSES OF ABNORMAL UTERINE BLEEDING

Most conditions that cause abnormal uterine bleeding can occur at any age.

The clinician will perform a physical examination to evaluate the woman’s overall health, and a pelvic examination to confirm that the bleeding is from the uterus and not from another site.

The biopsy can be performed in a healthcare provider’s office without anesthesia. Did you know that the biopsy may miss and similar tests are sometimes necessary, because only a small portion of the endometrium is sampled. He will examine the cervix to look for signs of cervical bleeding, and a Pap smear/human During the biopsy, a thin instrument is inserted through the vagina into the uterus to obtain a small sample of endometrial tissue. Throughout the pelvic exam, the clinician will look for any obvious lesions and will examine the size and shape of the uterus.

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