During The Pelvic Exam: Abnormal Uterine Bleeding (Beyond The Basics): Patient Information

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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.

During the pelvic exam, the clinician will look for any obvious lesions and will examine the size and uterus shape. He or she 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. Did you know that the biopsy can be performed in a healthcare provider’s office without anesthesia. Because only a small endometrium portion is sampled, the biopsy may miss some causes of bleeding and other tests are sometimes necessary.

Some women do not ovulate regularly and may experience unpredictable light or heavy vaginal bleeding. It can occur at any time during the reproductive years, although anovulation is most common when periods first begin and during perimenopause. Some women who ovulate regularly experience excessive blood loss during their periods or bleed between periods. Actually the most common causes of such bleeding are uterine fibroids, uterine adenomyosis, or endometrial polyps. Fibroids are benign masses in the uterus muscle layer, while adenomyosis is a condition in which lining of the uterus the lining grows into the myometrium. Endometrial polyps are fleshy growths of tissue which project into the uterine cavity. Notice, these conditions are common causes of abnormal uterine bleeding. Considering the above said. Fibroids, adenomyosis and polyps can also occur in anovulatory women. On top of this, patient information. This is where it starts getting serious, right? Heavy or prolonged menstrual bleeding.

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, there is 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 bodywide illnesses. Further evaluation is needed in women with persistent irregular menstrual cycles or an episode of profuse bleeding. Factors that seem to bring the bleeding on; symptoms that occur along with the bleeding similar to pain, fever, or vaginal odor; if bleeding occurs after sexual intercourse; whether there is a personal or family history of bleeding disorders; the woman’s medical history and medications she is taking; recent weight changes, stress, a new exercise program, or underlying medical problems, ABNORMAL UTERINE BLEEDING EVALUATIONWhile taking a woman’s medical history, a clinician will review the duration and amount of bleeding.

Under normal circumstances, a woman’s uterus sheds a limited amount of blood during each menstrual period.

Bleeding that occurs erratically or excessive regular menstrual bleeding is considered to be abnormal uterine bleeding. Any uterine bleeding is considered abnormal, once a woman who isn’t taking hormone therapy enters menopause and the menstrual cycles have ended. Certainly, the uterus inside has two layers. Yes, that’s right! The thin inner layer is called the endometrium. Then again, the thick outer muscular wall is the myometrium. However, menstruation occurs 10 to 14 days after ovulation. Furthermore, in women who ovulate and menstruate regularly, the endometrium thickens every month in preparation for pregnancy. I am sure that the endometrial lining is shed during the menstrual period, if the woman does not become pregnant. I know that the lining normally stops growing and shedding, after menopause.

Abnormal bleeding in teens can also be caused by most of the conditions that cause bleeding in all premenopausal women. These and other causes are discussed in the next section. Anyway, some 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.

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Progestins may also be given in other ways, similar to in an injection, an implant, or an intrauterine device. Besides, 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. Some women completely stop having menstrual bleeding as a IUD result, that is reversible when the IUD is removed. Consequently, women with fibroids can have surgical treatment of their fibroids, either by removing the fibroid or by reducing the fibroids blood supply. Besides, the most definitive surgical treatment for abnormal uterine bleeding is hysterectomy, or entire removal uterus. At hysterectomy time, the ovaries can be left in place or removed. Although, hysterectomy might be performed by conventional laparoscopy or robotic laparoscopy, through the vagina, or by an open incision on the abdomen. Although, more information about these treatments is available separately.

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