Abnormal Uterine Bleeding

What is abnormal uterine bleeding?

Abnormal uterine bleeding refers to a wide range of bleeding disturbances in reproductive age women.

The bothersome bleeding may be associated with your regular menstrual cycles, such as abnormally heavy or prolonged menstrual bleeding.

Alternatively, you may experience irregular, non-cyclic bleeding (i.e. bleeding but not on period) secondary to a multitude of causes, most commonly structural abnormalities such as fibroids or polyps. Further, medical conditions such as thyroid dysfunction can cause abnormal bleeding patterns if left untreated.

What is the treatment for abnormal uterine bleeding?

Abnormal uterine bleeding treatment is aimed at stopping bothersome symptoms and prevent anemia.

Although individualized, work-up often includes:

  • Detailed medical history
  • Comprehensive physical exams
  • Transabdominal and transvaginal ultrasound
  • Laboratory diagnostics
  • Testing for sexually transmitted infections
  • Endometrial/uterine biopsy

Common treatment options include medical management with NSAIDs, oral contraceptive pills, and/or tranexamic acid (Lysteda) or Levonorgestrel-containing IUDs.

Additionally, some treatments may require conservative and minimally-invasive surgical procedures, such as:

  • Hysteroscopic endometrial ablation
  • Hysteroscopic myomectomy or polypectomy (for structural abnormalities)
  • Uterine artery embolization
  • Definitive surgical management with hysterectomy, including:
    • Minimally invasive hysterectomy (e.g. laparoscopic hysterectomy or vaginal hysterectomy)
    • Traditional hysterectomy (e.g. abdominal hysterectomy)

To learn more or discuss the symptoms you may be experiencing, visit with one of our providers at Consultants in Women’s Healthcare.


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