How do I know if I have abnormal uterine bleeding?
While a normal menstrual cycle lasts 24-38 days with a normal period lasting up to eight days, other types of bleeding are considered abnormal if you experience:
- Bleeding or spotting between your periods
- Bleeding or spotting after sex
- Heavy bleeding during your period
- Menstrual cycles shorter than 24 days or longer than 38 days
- Irregular periods in which your cycle varies by more than 7-9 days
- Bleeding after menopause
Some irregularity is normal when you first start having your period and again before menopause, but it’s always best to discuss any variations with your doctor to determine the cause and get treatment, if necessary.
What causes abnormal bleeding?
Some causes of abnormal bleeding are due to hormonal fluctuations, while other causes can be related to anatomical changes. Possible causes of abnormal bleeding include:
- Problems with ovulation
- Fibroids and polyps
- Endometriosis
- Bleeding disorders
- Problems with your birth control, including intrauterine devices (IUDs) and birth control pills
- Miscarriage
- Ectopic pregnancy
- Some types of cancer
Your doctor first explores possible causes of abnormal bleeding based on your age, medical history, and lifestyle, before ordering additional testing.
How is abnormal bleeding diagnosed?
During your consultation and exam, your doctor asks about your menstrual cycle, including how long it is and how many days your periods last. Your doctor also asks about your health and sexual history to determine if you might be pregnant or experiencing changes related to menopause.
Based on your answers, your doctor may perform an internal exam of your vagina and cervix — like a Pap smear — or use ultrasound technology to check for pregnancy, fibroids, or polyps. You may also give a sample of urine or blood to check for hormone levels that could indicate pregnancy or ovulation issues.
If more invasive testing is needed, your doctor explains which tests are needed, how they’re performed, and what you can expect before, during, and after the test.
How is abnormal bleeding treated?
Once your doctor has diagnosed the cause of your abnormal bleeding, they outline treatment options that may include medications or surgical procedures. Commonly used medications include birth control pills, antibiotics, and nonsteroidal anti-inflammatory drugs (NSAIDs). A variety of surgeries can be performed as well, if appropriate.
To find answers to your abnormal bleeding and get treatment, call Women’s Health Consulting IL or schedule an appointment online now.
