Abnormal Uterine Bleeding

A condition that affects many women at different stages of their lives, abnormal uterine bleeding can cause panic and uncertainty about your reproductive health. However, understanding this common menstrual condition is key to effective management and treatment.

What is abnormal uterine bleeding?

Abnormal uterine bleeding is any variation from normal menstrual bleeding. This can include changes in the frequency, duration, regularity, and volume of menstrual blood flow. Abnormal bleeding can be a sign of various underlying health conditions, and addressing it is critical to maintaining your reproductive health.

Who does it affect?

Abnormal bleeding can affect women of any age. However, it's most common during the teenage years when the menstrual cycle is still becoming regular and during perimenopause when the cycle begins to wind down naturally.

What are the symptoms of abnormal uterine bleeding?

Symptoms of abnormal bleeding include the following:

  • Bleeding between periods.
  • Heavier or prolonged bleeding (lasting more than 7 days).
  • Menstrual cycles that are shorter than 21 days or longer than 35 days.
  • Bleeding after menopause.

What causes abnormal uterine bleeding?

The causes of abnormal bleeding are varied and can include the following:

  • Hormonal imbalances, particularly during puberty and perimenopause.
  • Uterine fibroids or polyps.
  • Endometrial dysfunction.
  • Bleeding disorders.
  • Infections of the reproductive organs.
  • Certain medications.
  • Underlying health conditions like PCOS or thyroid disorders.
  • Pregnancy complications, including miscarriage or ectopic pregnancy.

How is abnormal uterine bleeding diagnosed?

Diagnosing abnormal bleeding involves a comprehensive approach:

  • Medical history: Understanding your menstrual cycle, family history, and overall health.
  • Physical examination: This includes a pelvic exam to check for any abnormalities.
  • Blood tests: To evaluate hormone levels and thyroid function and check for anaemia.
  • Ultrasound: To visualise the uterus, ovaries, and pelvis.
  • Endometrial biopsy: Some take a tissue sample from the lining of the uterus.
  • Hysteroscopy: A procedure that allows your doctor to look inside your uterus.

What are the treatment options?

Treatment for abnormal bleeding depends on the cause and may include:

  • Medications: Hormonal treatments like birth control pills, intrauterine devices (IUDs), or non-hormonal medications to control bleeding.
  • Surgical procedures: For structural causes like fibroids or polyps, procedures such as hysteroscopic resection or endometrial ablation may be recommended.
  • Iron supplements: To treat anaemia caused by heavy bleeding.
  • Lifestyle changes: Diet and exercise can affect hormonal balance and menstrual health.

Additional Insights

  • Impact on fertility: Abnormal bleeding can affect fertility, so it's essential to address these concerns with your doctor.
  • Emotional and psychological support: Abnormal bleeding can be stressful and impact your quality of life. Our practice offers support and counselling.

Helping you manage abnormal uterine bleeding

We are committed to providing comprehensive care for abnormal uterine bleeding. Dr Sheetekela understands the physical and emotional toll this condition can take and offers various treatment options tailored to your specific needs. Our goal is not only to treat abnormal uterine bleeding but also to improve your overall quality of life.