Dr Reena Sengupta

Abnormal Uterine Bleeding

Abnormal uterine bleeding (AUB) refers to any atypical bleeding from the uterus, including changes in the frequency, duration, or amount of menstrual bleeding. It can also encompass bleeding between menstrual periods. Here are key aspects related to abnormal uterine bleeding:

  • Definition of Abnormal Uterine Bleeding:

    • Abnormal uterine bleeding is characterized by variations in menstrual bleeding patterns. This can include heavy menstrual bleeding (menorrhagia), prolonged periods, irregular menstrual cycles, or bleeding between periods (metrorrhagia).
  • Common Causes:

    • Hormonal Imbalances: Fluctuations in hormonal levels, particularly estrogen and progesterone, can contribute to AUB.
    • Uterine Fibroids: Noncancerous growths in the uterus can cause heavy bleeding or prolonged periods.
  • Evaluation and Diagnosis:

    • A thorough medical history, including details about menstrual cycles and bleeding patterns, is crucial for diagnosis.
    • Physical examinations, pelvic exams, and imaging studies (ultrasound) may be conducted.
    • Hormonal assessments and, in some cases, biopsies (endometrial biopsy) may be performed to identify the underlying cause.
  • Treatment Options:

    • Treatment depends on the underlying cause and the individual’s reproductive goals.
    • Hormonal Therapies: Birth control pills, hormonal IUDs, or hormone replacement therapy may regulate menstrual cycles.
    • Non-Hormonal Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help control bleeding.
    • Surgical Interventions: Procedures such as endometrial ablation or myomectomy may be considered for specific cases.
    • Hysterectomy: In severe cases or when other treatments are unsuccessful, the removal of the uterus may be recommended.
  • Lifestyle Modifications:

    • Maintaining a healthy lifestyle, including regular exercise and a balanced diet, can contribute to overall reproductive health.
    • Managing stress and maintaining a healthy weight may also positively impact menstrual cycles.
  • Follow-up Care:

    • Regular follow-up with a healthcare provider is essential to monitor treatment effectiveness and address any ongoing concerns.
    • Individuals experiencing abnormal uterine bleeding should seek prompt medical attention for proper diagnosis and management.

It’s important for individuals experiencing abnormal uterine bleeding to consult with a healthcare professional for a thorough evaluation. Early diagnosis and appropriate management can help improve quality of life and address any underlying health concerns.