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Abnormal Uterine Bleeding

Abnormal Uterine Bleeding

Menstruation is the periodic flow occurring in women, which sheds off the lining or endometrium uterus as blood and tissues through the vagina. The normal menstrual cycle occurs at regular intervals of 24–35 days in women. On an average, 40 mil of blood is passed during a menstrual period which can typically last from 3 to 7 days.

But in some cases, women tend to experience abnormally heavy periods that go on for much longer time. This is known as abnormal bleeding or abnormal uterine bleeding (AUB). It can be either chronic (lasting for more than 6 months) or acute (sudden & severe).

What are the symptoms of Abnormal Uterine Bleeding?

  • Bleeding for over 8 days
  • Heavy blood flow during menses
  • Need to change the pad during the night
  • Spotting or bleeding between periods
  • Cramps
  • Pain in lower abdomen
  • Vaginal bleeding post menopause

If you or a loved one is experiencing any of these symptoms, consult Dr. Nupur Anand Shukla, the best gynaecologist Lucknow, at the earliest to avoid complications.

What are the common causes of AUB?

  • Spontaneous miscarriage
  • Hormonal disorders like PCOS or hypothyroidism
  • Ovulatory dysfunction
  • Endometriosis
  • Infections like pelvic inflammatory disease
  • Certain medications
  • Intrauterine device
  • Hormonal contraceptives
  • Hormone replacement therapy
  • Polyps
  • Fibroids
  • Blood disorders including leukemia

How is AUB diagnosed?

Diagnosis of Abnormal Uterine Disorder involves a number of diagnostic tests such as the following:

  • Physical examination
  • Patient's medical history
  • Patient's general menstrual condition
  • Cervical screening
  • Blood tests
  • Vaginal ultrasound
  • Endometrial biopsy

How is AUB treated?

Treatment for AUB may include one or more of the following:

  • Medications
  • Dilatation & Curettage
  • Treating underlying conditions such as hypothyroidism
  • Surgery to remove tumors, polyps or fibroids
  • Surgery to treat ectopic pregnancy
  • Hysterectomy to remove the uterus