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Best Treatment for Abnormal Uterine Bleeding(AUB)

Best Treatment for Abnormal Uterine Bleeding (AUB)

At Stork Hospitals, we pride ourselves on our team of top-tier gynecologists, each possessing over a decade of experience in treating gynecological conditions, particularly abnormal uterine bleeding. Utilizing advanced surgical technologies such as laparoscopy, we ensure optimal outcomes for our patients with minimal complications and discomfort. Our commitment to safe and painless surgery extends to reducing hospital stay duration, allowing our patients to return to their daily lives swiftly. Trust Stork Hospitals for expert care in gynecology, delivering the best results with a focus on your well-being.

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Abnormal Uterine Bleeding

Abnormal vaginal or uterine bleeding refers to any vaginal bleeding that occurs outside of your regular menstrual cycle. This can encompass various situations, including spotting of small amounts of blood between periods or experiencing extremely heavy periods characterized by changing pads or tampons every one to two hours for two or more consecutive hours.

In contrast, vaginal bleeding during your period, or menstruation, typically follows a regular cycle occurring every 21 to 35 days. During menstruation, the uterus sheds its endometrial lining, resulting in the discharge of blood from the vagina.

What are the causes of Abnormal Uterine/vaginal bleeding?

The most common causes of Abnormal Uterine Bleeding (AUB) can stem from a variety of factors, including:

  • Hormone Imbalances: Conditions such as anovulation, thyroid problems, and Polycystic Ovary Syndrome (PCOS) can disrupt hormonal balance, leading to AUB.
  • Structural Abnormalities in the Uterus: Uterine polyps and fibroids are common structural issues that can cause abnormal bleeding.
  • Precancer and Cancerous Conditions: Conditions like uterine, cervical, or vaginal cancer can manifest as abnormal uterine bleeding.
  • Infections of the Female Genital Tract: Infections such as vaginitis, cervicitis, or endometritis can cause AUB.
  • Other Medical Conditions: Underlying conditions like liver or kidney disease, as well as Pelvic Inflammatory Disease (PID), can contribute to abnormal bleeding.
  • Medications: Certain medications, including birth control pills, intrauterine devices (IUDs), and aspirin, may lead to AUB as a side effect.
  • Retained Foreign Bodies and Trauma: Retained foreign bodies (such as an IUD) or trauma to the pelvic area can also result in abnormal uterine bleeding.

Understanding these potential causes can aid in the diagnosis and management of Abnormal Uterine Bleeding, allowing for appropriate treatment and care.

What are the symptoms of Abnormal Uterine / vaginal Bleeding?

Signs of Abnormal Uterine Bleeding (AUB) can manifest in various ways, including:

  • Heavy Periods (Menorrhagia): Experiencing abnormally heavy menstrual bleeding that significantly impacts daily activities or requires frequent changes of pads or tampons.
  • Bleeding Between Menstrual Periods: Observing vaginal bleeding outside of your regular menstrual cycle, which may occur between periods, after sexual intercourse, or after reaching menopause.
  • Prolonged Menstrual Periods: Menstrual periods lasting longer than the typical duration of 7 days.
  • Irregular Menstrual Periods: Experiencing irregular menstrual cycles, characterized by variations in the length of the menstrual cycle or the amount of bleeding.

Recognizing these signs is crucial for identifying potential issues with uterine bleeding and seeking appropriate medical evaluation and treatment.

How to diagnose AUB?

Your gynecologist may recommend various tests or procedures to diagnose abnormal uterine bleeding:

  • Urine Pregnancy Test: To rule out pregnancy as a cause of bleeding, especially if heavy bleeding occurs or if pregnancy is suspected.
  • Blood Tests: A Complete Blood Count (CBC) can assess hemoglobin levels, especially if active bleeding is present. Additionally, thyroid function tests may be conducted to evaluate thyroid hormone levels, as thyroid imbalances can affect ovarian function and contribute to abnormal bleeding.
  • Hormone Imbalances: Testing for hormone imbalances can help identify underlying causes of abnormal bleeding.
  • Hysteroscopy: This procedure involves examining the uterine cavity with a thin, lighted instrument called a hysteroscope to check for abnormalities such as fibroids, polyps, or signs of cancer.
  • Pelvic Ultrasound: Ultrasound imaging of the pelvis may be used to diagnose or rule out certain causes of abnormal bleeding.
  • Endometrial Biopsy: During hysteroscopy, your gynecologist may collect tissue samples from the lining of the uterus to check for signs of cancer or precancerous changes.

These tests and procedures play a crucial role in diagnosing the underlying cause of abnormal uterine bleeding, guiding appropriate treatment decisions, and ensuring optimal patient care.

How do we treat AUB?

The treatment for abnormal uterine bleeding depends on the underlying cause, determined by your treating gynecologist. Treatment options may include:


  • Birth Control Pills: Hormonal birth control methods can help regulate menstrual cycles and reduce bleeding.
  • Progestin-IUD: Intrauterine devices releasing progestin hormones can alleviate heavy bleeding.
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Pain relievers like ibuprofen can help reduce menstrual pain and bleeding.
  • Gonadotropin-Releasing Hormone (GnRH) Agonists/Antagonists: These medications can temporarily halt menstrual cycles, offering relief from heavy bleeding.

Surgical Management:

  • Hysteroscopy: A procedure to remove fibroids and polyps from the uterine cavity.
  • Uterine Artery Embolization: Interventional radiology procedure to block blood flow to fibroids, causing them to shrink.
  • Myomectomy: Surgical removal of fibroids while preserving the uterus.
  • Endometrial Ablation: Destroys the uterine lining using various methods such as laser, heat, or freezing.
  • Hysterectomy (Open or Laparoscopic): Surgical removal of the uterus, considered when other treatment options fail to control bleeding.

Your gynecologist will discuss these treatment options with you, considering factors such as the cause of abnormal bleeding, your medical history, and your preferences, to determine the most appropriate course of action for your individual needs.


Abnormal Uterine Bleeding(AUB)

Menometrorrhagia encompasses two distinct conditions:

  • Menorrhagia: Characterized by excessive or prolonged menstrual bleeding during the regular menstrual cycle.
  • Metrorrhagia: Involves irregular, excessive, or prolonged bleeding occurring outside of the regular menstrual cycle and unrelated to menstruation.

Between 10 to 35% of women globally may experience abnormal uterine bleeding, with higher prevalence during menarche (onset of menstruation) and the perimenopausal period.

Diagnosis and treatment of abnormal bleeding are tailored to the individual's age, symptoms, and risk factors. Providers consider these factors to determine the underlying cause and offer personalized care.

Diagnosis and treatment of abnormal bleeding hinge on identifying its cause, considering factors like age, symptoms, and risk factors to tailor care effectively.

Yes, many health insurance plans typically cover investigations and treatment for abnormal uterine bleeding, ensuring access to necessary medical care.

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