Understanding Chronic Abnormal Uterine Bleeding: Causes, Symptoms, and Management

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Chronic Abnormal Uterine Bleeding

by Alike Medical Team ∙ Updated on June 13, 2023

Additional names

This group contains additional names: - Pubertal Menorrhagia - Metrorrhagia - Breakthrough bleeding - Intermenstrual bleeding - Postcoital Bleeding - Scanty Menstruation - Hypomenorrhea - Oligomenorrhea - Ovulation Bleeding

General

Abnormal uterine bleeding is heavier bleeding than normal or bleeding that does not occur during menses. Abnormal uterine bleeding can be caused by many things; Polyps, fibroids, pregnancy, infections, birth control pills, intrauterine devices, thyroid problems, and uterine cancer are some of the causes for abnormal uterine bleeding. Dysfunctional uterine bleeding means that the reason is hormonal, and it is more common in young women or in women in the perimenopause area.

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Signs & symptoms

Abnormal uterine bleeding symptoms may include heavier bleeding, using more tampons or sanitary pads than usual, a period that lasts more than 7 days, bleeding that occurs between menses. If the bleeding is very heavy, the patient may suffer from anemia signs- pallor and fatigue.

Diagnosis

Diagnosis for abnormal uterine bleeding starts with medical history and a pelvic examination, including pelvic US. Then, depending on the woman’s age and history, other tests may be performed such as pregnancy test, blood tests, endometrial biopsies and hysteroscopy.

Treatment

Abnormal uterine bleeding treatment depends on the reason causing it, on the women’s overall health, symptoms, age and preferences. Some of the treatments may include birth control pills, intrauterine devices, dilation and curettage, endometrial ablation and hysterectomy.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

National Institutes of Health ∙ World Health Organization ∙ MedlinePluse ∙ Centers for Disease Control and Prevention

☝ All information has been reviewed by certified physicians from Alike

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