Abnormal uterine bleeding involves unexpected or prolonged bleeding, impacting many women's lives. Get comprehensive care and treatment with our GPs.
The information provided in this article is for educational purposes only and is based on NHS recommendations. It is not a substitute for professional medical advice. Always consult your doctor or a qualified healthcare provider for advice on medical conditions or treatments.
Abnormal uterine bleeding is a condition where menstrual bleeding occurs at unexpected times or lasts longer than usual. This includes bleeding between periods, after sex, or postmenopausal bleeding. Causes range from hormonal imbalances and endocrine disorders to infections, non-cancerous growths, and trauma. Effective treatment requires identifying the underlying cause, which may involve hormonal therapies, medication, or surgical options. If you experience abnormal bleeding, consulting a healthcare professional is essential for proper diagnosis and treatment, ensuring your overall well-being.
Abnormal uterine bleeding means bleeding that happens longer or at unexpected times. This can occur:
If you experience any bleeding during pregnancy, seek immediate medical advice. If you bleed after not having a period for 12 months, often referred to as Postmenopausal Abnormal Bleeding, seek prompt medical advice.
Several factors can cause abnormal uterine bleeding. Consult your doctor or visit Spital Clinic for a thorough assessment. Possible causes include:
If you notice unusual vaginal bleeding, take these steps:
A healthcare professional may recommend:
For diagnosis, you might need:
Effective treatments for abnormal uterine bleeding vary based on the cause. Options include:
For expert advice and treatment tailored to your needs, consider Spital Clinic. We offer specialised care for abnormal uterine bleeding. For additional information, visit the FSRH for managing hormonal contraception-related bleeding or the National Institute for Health and Care Excellence for guidance on heavy menstrual bleeding.
We provide a comprehensive range of services, from private GP consultations and specialised men's and women's health care to advanced ultrasound scans and proactive health screenings, all within a reassuring and state-of-the-art environment.
You have a question about Abnormal Uterine Bleeding? We have an answer.
Abnormal Uterine Bleeding (AUB) can result from various factors, often categorised using the PALM-COEIN system. PALM represents structural causes: Polyps, Adenomyosis, Leiomyoma (fibroids), and Malignancy. COEIN stands for non-structural causes: Coagulopathy, Ovulatory dysfunction, Endometrial disorders, Iatrogenic, and Not otherwise classified. Hormonal imbalances, thyroid disorders, and certain medications can also cause AUB. Your GP can help identify the specific cause of your AUB. They might order blood tests, ultrasounds, or other investigations as needed. Remember, identifying the underlying cause is crucial for effective treatment.
Treatment for AUB depends on its cause, severity, and your personal preferences. Hormonal treatments like birth control pills can regulate menstrual cycles and reduce bleeding. Non-hormonal options include tranexamic acid, which helps blood clot formation. For structural causes, surgical interventions like polyp removal or endometrial ablation might be recommended. In severe cases, hysterectomy (uterus removal) may be considered as a last resort. Your GP can discuss the most suitable treatment options for your situation. They'll consider factors like your age, desire for future pregnancy, and overall health. Remember, treatment plans often need adjusting, so regular follow-ups with your GP are important.
AUB presents differently across age groups. In adolescents, it's often due to anovulatory cycles. This usually resolves as menstrual cycles regularise. Perimenopausal women might experience AUB due to hormonal fluctuations. They're also at higher risk of structural causes like fibroids or polyps. Your GP will consider your age when diagnosing and treating AUB. They might recommend different investigations or treatments based on your life stage. Remember, AUB at any age isn't normal and requires medical evaluation. Your GP can provide age-appropriate care and advice for managing AUB.
Certain lifestyle modifications may help manage AUB symptoms. Regular exercise can help regulate hormones and reduce heavy bleeding. A balanced diet rich in iron can help prevent anaemia. Stress reduction techniques like yoga or meditation might help with hormone balance. Maintaining a healthy weight can also positively impact menstrual patterns. Your GP can provide personalised advice on beneficial lifestyle changes. They might recommend specific dietary modifications or exercise routines based on your needs. Remember, lifestyle changes often work best when combined with medical treatments for AUB.
Consult your GP if you experience heavy bleeding that soaks through sanitary products hourly. Seek medical advice for bleeding lasting more than 7 days or occurring between periods. Any post-menopausal bleeding requires immediate medical attention. See your GP if AUB causes anaemia symptoms like fatigue or dizziness. Your GP can assess your symptoms and rule out serious underlying conditions. They'll provide appropriate treatment to manage your symptoms effectively. Remember, early intervention can prevent complications and improve your quality of life.
Untreated AUB can lead to several complications. Chronic heavy bleeding often results in iron-deficiency anaemia. This can cause fatigue, weakness, and in severe cases, heart problems. Prolonged AUB might lead to endometrial hyperplasia, potentially increasing endometrial cancer risk. Some women experience significant life disruptions, affecting work, relationships, and mental health. Your GP can help prevent these complications through timely diagnosis and treatment. They'll monitor your condition and adjust the treatment plan as needed. Remember, regular check-ups are crucial for managing AUB and preventing long-term health issues.
AUB can impact fertility, depending on its underlying cause. Conditions like polycystic ovary syndrome (PCOS) or endometriosis can affect ovulation and implantation. Fibroids or polyps might interfere with embryo implantation or cause miscarriages. However, many women with AUB can still conceive and have healthy pregnancies. Your GP can assess how AUB might affect your fertility. They might refer you to a fertility specialist if needed. Remember, early diagnosis and treatment of AUB can improve fertility outcomes. Discuss any fertility concerns with your GP, especially if you're planning a pregnancy.
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