Abnormal Uterine Bleeding Specialist

What is abnormal uterine bleeding?

Any irregular bleeding from the uterus that is heavier than usual, lasts longer than usual, or occurs outside your normal menstrual period, may be abnormal uterine bleeding (AUB). Your doctor may diagnose abnormal uterine bleeding if:

• Your periods are fewer than 21 days apart or more than 35 days apart. Your period last longer than a week.
• You are passing clots or soaking through your tampon or sanitary pad in an hour or two or more hours. If this occurs, your bleeding is considered severe and you should call your doctor right away.

What causes abnormal uterine bleeding?

There are many potential reasons you may experience abnormal uterine bleeding. It may be caused by growths, such as fibroids or cysts in the uterus, by abnormal hormonal levels, or even by a blood clotting disorder. Your doctor will likely perform a complete pelvic exam and other diagnostic tests, such as a Pap smear, blood tests, and ultrasound, to identify the cause of your bleeding. In some cases, your doctor may be unable to identify a specific cause for abnormal uterine bleeding.

If you are currently pregnant, abnormal uterine bleeding may indicate a miscarriage; be sure to tell your doctor if you are pregnant and experiencing abnormal bleeding.

How is abnormal uterine bleeding treated?

Treatment for abnormal uterine bleeding depends on the cause of your symptoms. Sometimes, hormonal treatment with birth control pills or progesterone may be all that's needed to control your bleeding. In other cases, your doctor may perform hysteroscopy, an outpatient surgical procedure, to identify the cause of your bleeding. Other surgical procedures may be recommended as well, depending on the source of the bleeding and your childbearing status. An endometrial ablation, which scars the lining of the uterus, is sometimes used to control abnormal uterine bleeding in women who don't plan to become pregnant. In severe cases, a hysterectomy, which the removal of the uterus itself, may be required to control your bleeding.