Everything You Need To Know About Abnormal Uterine Bleeding

 Dr Parul Jain is the best gynaecologist in Gurgaon who offers the best abnormal uterine bleeding treatment. Read below all about this disorder. 

What is abnormal uterine bleeding?

Abnormal uterine bleeding (AUB) involves bleeding from your uterus which extends longer than normal or happens at an unusual time. You might bleed lighter or heavier than regular and randomly or frequently. It can occur:

• After menopause

• Heavier than usual

• For longer days than usual

• After sex

• As bleeding or spotting between your menstrual cycles

It does not happen during pregnancy. Bleeding while pregnant has other reasons. If you bleed during pregnancy, contact the health care provider. 

Causes of abnormal uterine bleeding

Each woman’s period differs but takes place every 28 days, on an average. Most women undergo menstruation 24-34 days apart, generally lasting 4-7 days. Young girls might have it 22-45 days or more apart. In their 40s, women might menstruate less often or with reduced intervals. 

Mostly, female hormonal levels alter monthly. During ovulation, while releasing an egg, progesterone and oestrogen hormones are released. 

Abnormal uterine bleeding may happen when your ovaries cannot release an egg. Altered hormonal levels prepone or postpone your period that, sometimes, might be heavier than usual. It occurs more commonly in premenopausal, teenage and, sometimes, overweight women. 

In many women, this condition happens from a hormonal imbalance or the following causes:

• A cervical or uterine infection

• Too much weight loss or gain (above 10 pounds)

• Hormonal birth control like IUD (Intrauterine devices) or birth control pills

• Severe weight loss

• Polycystic ovarian syndrome

• Bleeding issues or blood clotting problems

• Vaginal, cervical, uterine or ovarian cancer

• Uterine polyps

• Uterine fibroids

• Thickening of the uterine lining or wall

Symptoms of abnormal uterine bleeding

Abnormal uterine bleeding is unpredictable. It might be random, frequent, light or heavy. Its signs are:

• Spotting or bleeding from your vagina between menstrual cycles

• Cycles below 28 days apart (more evident) or above 35 days apart

• The time between cycles alters monthly

• Heavier bleeding (like passing major clots, requiring to change protection at night time, soaking through protection hourly for 2-3 hours consecutively)

• Bleeding lasting for more days than usual or above 7 days

Other signs from alterations in hormonal levels might be:

• Vaginal dryness and tenderness

• Mood swings

• Hot flashes

• Hirsutism (overgrowth of body hair in a male pattern)

A woman might experience fatigue or tiredness if she drains too much blood over time that may hint at anaemia. 

Abnormal uterine bleeding treatment

The doctor may recommend an HPV/PAP test and pelvic exam. Other necessary tests may include:

• Thyroid function tests

• Pregnancy tests

• Hormone tests for progesterone, prolactin, androgen, LH and FSH levels

• Fasting blood glucose

• Liver function tests

• Blood clotting profile

• Complete blood count 

Treatment of this disorder can be available in one or more of the following options:

• Hormone therapy

• Low-dose birth control pills

• High-dose estrogen's therapy for women undergoing too heavy menstrual bleeding

• NSAIDs (Nonsteroidal anti-inflammatory drugs) taken right before your menstruation begins

• Surgery, if your bleeding is due to uterine fibroids or polyps

The doctor can likely put you on iron supplements if you possess anemia. If you choose to become pregnant, the doctor may provide you with medications for stimulating ovulation. 

Women possessing severe signs, which do not get better or those who have a precancerous or cancerous diagnosis might need other methods like:

• Hysterectomy for removing the uterus

• A surgery for destroying or eliminating the uterine lining

To have successful treatment of this condition with minimal complications, you may contact the best gynaecologist in Gurgaon, Dr Parul Jain.