Abnormal Uterine Bleeding (Beyond The Basics): Patient Information – The Thin Inner Layer Is Called The Endometrium

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The inside of the uterus has two layers.

In women who ovulate and menstruate regularly, the endometrium thickens nearly any month in preparation for pregnancy. These and similar causes are discussed in the next section. However, abnormal bleeding in teens can also be caused by most of the conditions that cause bleeding in all premenopausal women. Ok, and now one of the most important parts. Menstruation occurs 10 to 14 days after ovulation. So endometrial lining is shed throughout the menstrual period, Therefore in case the woman does not become pregnant. Notice, the thick outer muscular wall is the myometrium. Lining normally stops growing and shedding, after menopause. Anyway, the thin inner layer is called the endometrium.

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. Furthermore, any uterine bleeding is considered abnormal, if a woman who isn’t taking hormone therapy enters menopause and the menstrual cycles have ended. Throughout the pelvic exam, the clinician will look for any obvious lesions and will examine the size and shape of the uterus. 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.

During the biopsy, a thin instrument is inserted through the vagina into the uterus to obtain a small sample of endometrial tissue.

It can occur at any time in the course of the reproductive years, anovulation is most common when periods first begin and during perimenopause. Some women do not ovulate regularly and may experience unpredictable light or heavy vaginal bleeding. Biopsy may miss and identical tests are sometimes necessary, as long as only a small portion of the endometrium is sampled. I am sure that the biopsy can be performed in a healthcare provider’s office without anesthesia.

Some women who ovulate regularly experience excessive blood loss during their periods or bleed between periods.

Heavy or prolonged menstrual bleeding. Fibroids, adenomyosis and polyps can also occur in anovulatory women. For instance, 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. Of course, patient information. Endometrial polyps are fleshy growths of tissue which project into the uterine cavity. On top of that, the most common causes of such bleeding are uterine fibroids, uterine adenomyosis, or endometrial polyps. These conditions are common causes of abnormal uterine bleeding.

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

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

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

ABNORMAL UTERINE BLEEDING TREATMENT

The treatment of abnormal bleeding is based upon the underlying cause. Therefore this article may be updated as needed on our web site.

Progestins may also be given in other ways, just like in an injection, an implant, or an intrauterine device.

Some women completely stop having menstrual bleeding for a reason of the IUD, that is reversible when the IUD is removed. 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.

women with fibroids can have surgical treatment of their fibroids, either by removing the fibroid or by reducing the blood supply of the fibroids. Most definitive surgical treatment for abnormal uterine bleeding is hysterectomy, or removal of the entire uterus. Hysterectomy might be performed by conventional laparoscopy or robotic laparoscopy, through the vagina, or by an open incision on the abdomen. WHERE TO GET MORE INFORMATION

Your healthcare provider is top-notch source of information for questions and concerns about your medical problem. At the time of hysterectomy, the ovaries might be left in place or removed. More information about these treatments is available separately.