There are a number of causes of abnormal uterine bleeding. Increased blood loss, flooding, and clots can be attributed to a number of causes that need diagnosis and testing.
Abnormal Uterine Bleeding could be due to heavy menstrual bleeding which is more common form of abnormality. The diagnosis is made on the basis of signs such as unusual increase in blood loss. Menstrual blood loss that last longer than 7 days. Frequent flooding or blood loss that is not contained by pads or tampons. Passing of blood clots and iron deficiency anaemia.
A Heavy Menstrual Bleeding
A Heavy Menstrual Bleeding can be due to dysfunctional uterine bleeding. This could be because of hormonal imbalance. It could also be due to fibroids which are benign growth of the muscle and connected cells of the uterus and are very commonly found in women. Smaller fibroids do not usually cause problems.
Endometrial Polyps are the benign growth of the lining of the womb and they can lead to spotting between or after the periods. Endometrial hyperplasia is thickening of the lining of the uterus that leads to heavier bleeding.
Adenomyosis is a enlargement of uterus caused by growth of the lining of the wall of the uterus. Other causes could be other hormonal imbalance, blood clotting disorders, contraceptive devices like IUD or endometrial cancers and infections.
Post Menopausal Bleeding
If you are experiencing bleeding after Menopause click here for further information.
Diagnosis & Tests
Diagnosis & Tests – Heavy menstrual bleeding can be treated medically by tablets or progesterone containing intrauterine device along with iron supplementation.
Surgical treatment for heavy menstrual bleeding would consist of:
- Endometrial ablation – surgical removal or destruction of the lining of the womb
- Myomectomy – removal of the fibroid
For further information about Abnormal Uterine Bleeding, please contact Dr Singla’s office.