After the onset of puberty, women can quickly grow accustomed to uterine bleeding. Because the menstrual cycle becomes a commonplace occurrence, many individuals may not view out-of-the-ordinary uterine bleeding as a possible symptom of a medical condition. But in many cases, a change in bleeding patterns can indicate a underlying issue. The Women’s Wellness Center of New York, an NYC destination for women’s health issues, offers some advice on what to look for and when to be concerned.

Abnormal bleeding can be brought on by innocuous causes, such as a new form of birth control or the onset of menopause. But in many cases, abnormal bleeding can indicate a more serious issue that may require medical care.

Some common causes of abnormal uterine bleeding include:

• Pregnancy
• Uterine fibroids
• Trauma
• A bleeding disorder
• Uterine polyps
• Polycystic ovarian syndrome
• Endometrial hyperplasia
• A uterine or cervical infection
• Adenomyosis, a condition in which endometrial tissue grows into the uterine muscle wall
• Uterine, cervical, or vaginal cancer

No matter what you think may be the root cause, it’s always best to discuss any abnormal uterine bleeding with your physician. To investigate the issue further, a health professional will review your health history and may administer a pregnancy test, pelvic exam, pap smear, ultrasound or biopsy to determine the presence of any issues like uterine fibroids, polyps, or cancer.

The type of treatment utilized depends on the cause of the bleeding, a woman's age, and her desire to have future children. The most common way to treat uterine bleeding is through hormonal medications, which include birth control pills, injections, or IUDs. Other possible medications used to treat the issue are non-steroidal anti-inflammatories, tranexamic acid, or antibiotics if there is an infection present. 

If the cause of the bleeding is due to polyps or fibroids, surgeries such as a hysteroscopy, endometrial ablation, myomectomy, or hysterectomy may be suggested.  As always, speak with your doctor to find out which treatment is best suited for you. 

If you have noticed any change in your normal bleeding patterns or experienced bleeding after sex, call the Women’s Wellness Center of New York, an Upper East Side clinic devoted to women’s health issues. To schedule your appointment, call (647) 754-3300 or visit their website.