For many women, dealing with a regular menstrual cycle is stressful enough, but when there’s additional, unexpected bleeding, it’s even worse. Known as “abnormal uterine bleeding,” this is any bleeding that diverges from a usual menstrual cycle. Gynecologists classify any bleeding in between periods, or even excessive bleeding during one, as such; this latter situation is specifically referred to as menorrhagia. Uterine bleeding that occurs for menopausal women also counts. If you’re experiencing this, here’s what you need to know.

What Is Abnormal Uterine Bleeding?

Potential Causes

One of the more frustrating truths about this condition is that it can be attributed to several causes. Usually, hormonal imbalances are to blame. Because of this, gynecologists often see abnormal uterine bleeding in teenagers as well as women in their 40s who are in the perimenopause phase. Aside from hormones, it can also be attributed to ectopic pregnancies, which occur when an egg is fertilized outside of the uterus, often in the fallopian tubes. It could also be due to growths like polyps and fibroids in the uterus. In rare cases, thyroid issues are also a culprit. Additionally, it can also be a symptom of uterine cancer.

How It’s Diagnosed

Diagnosing abnormal uterine bleeding first involves a gynecologist reviewing the patient’s history and menstrual cycle patterns. Then, they’ll likely run a blood test to check for a low blood count and to rule out anemia or an iron deficiency. To check for an ectopic pregnancy, polyps, or fibroids, they’ll do an ultrasound, CT scan, or an MRI test on the pelvic region. Another possible test is a hysteroscopy, wherein a trained medical technician will insert a small, thin, camera into the uterus to look around for any irregularities. If further tests are required, they may do an endometrial biopsy, where they take a piece of the mucous membrane lining of the uterus and examine it.

Treatment

If it’s caused by hormones, a gynecologist may prescribe birth control methods; this includes options like pills, a skin patch, vaginal ring, or hormonal intrauterine device — IUD. For menorrhagia, over-the-counter NSAID pain relievers — like ibuprofen — are a popular option. For severe cases, surgery may be recommended.

If you’re suffering from abnormal uterine bleeding, the gynecologists at Caring for Women is here to help. For over 20 years, this Anchorage, AK, clinic has provided comprehensive women’s health services. Their highly trained and compassionate team will work with you closely to ensure the issue is properly diagnosed and treated. You can learn about their gynecological services on their website; but, if you have any questions, feel free to call them directly at (907) 279-2229. They’re currently accepting new patients so don’t hesitate to get in touch.