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Gynecology
Standard For Patient Care
Abnormal Bleeding
Abnormal Bleeding for Women
Irregular bleeding or abnormal uterine bleeding has many causes. Bleeding is considered abnormal if it occurs in between periods or after sex, if it is heavier than normal or more prolonged, or if it occurs after menopause.
Some of the most common reasons for abnormal vaginal bleeding are:
- Hormonal changes or imbalances
- Pregnancy-related complications
- Uterine fibroids
- Polyps
- Infections
- Endometrial hyperplasia
- Endometrial cancer
- Bleeding disorders
- Medication side effects
Abnormal Bleeding Complications
Irregular bleeding is nothing to ignore. If left untreated, it can lead to infertility, anemia due to blood loss, and increased risk of endometrial cancer.
- Iron-deficiency anemia
- Predisposition to precancerous endometrial conditions
- Hyperplasia
- Uterine cancer
- Lack of energy
Getting a Diagnosis of Abnormal Bleeding
The diagnostic process for abnormal bleeding will include:
- Liver Function Tests
- Complete Blood Count Pregnancy Test
- Thyroid Function Tests
- Hormone Tests (To assure normal levels of progesterone, androgen, and prolactin)
Additionally, our practitioner will look for signs of infection, cancerous or precancerous cells, and pelvic or uterine problems. While you may not undergo all these tests, they can all be included in a screening for abnormal vaginal bleeding.
Signs and Symptoms of Abnormal Bleeding
Women who have more substantial, extended periods or heavy spotting between periods need to be evaluated by their doctor because it can indicate more serious underlying conditions. Most often, vaginal bleeding occurs when the uterus sheds its endometrium lining due to the absence of the implantation of the egg. The cycle can vary from month to month but can still be considered regular. The critical difference between a healthy and abnormal cycle is the consistency in length and frequency of bleeding.
Treatments for Abnormal Bleeding
At the Women’s Health Group, we’re dedicated to providing you with a personal experience –treating every patient as an individual and not a condition. Our providers will meet with you, put together a complete history of your bleeding patterns, and identify the potential causes. We will also perform a series of examinations, which may include:
- Pelvic Ultrasounds
- Hysteroscopy
- Lab tests
- Biopsy
