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Abnormal Uterine Bleeding
Abnormal uterine bleeding (menometrorrhagia) is bleeding between monthly periods, prolonged bleeding or an extremely heavy period. While it is common for periods to vary during adolescence and as menopause approaches, persistent heavy or irregular bleeding at other times should be assessed by a gynaecologist.
Abnormal bleeding is not always a sign of something serious, but it can cause distress, affect daily life, and sometimes indicate an underlying condition.
There are many possible reasons for abnormal uterine bleeding. Common causes include hormonal changes, fibroids, polyps, adenomyosis, or conditions affecting blood clotting. Some women experience abnormal bleeding due to medications such as anticoagulants or hormone therapy.
Less commonly, bleeding may be linked to cancer of the womb, cervix, or ovaries.
Because there are so many possible causes, it is important not to ignore ongoing abnormal bleeding and to seek medical advice.
It’s important to see your gynaecologist if your periods are heavier than usual and difficult to manage, or if you have bleeding at unexpected times - between periods, after sex, or following menopause.
You should also seek advice if you are passing large clots or changing pads or tampons much more frequently than normal.
How is Abnormal Uterine Bleeding Assessed
Your gynaecologist will begin with questions about your symptoms and medical history, followed by an examination.
Tests may include bloods to check for anaemia or hormone imbalances, and an ultrasound scan to look at the womb and ovaries.
Sometimes a sample of the womb lining (endometrial biopsy) is taken, or a hysteroscopy (a small camera inserted into the womb) is recommended.
Treatment of PID
Treatment depends on the cause of the bleeding, your age, general health, and whether you are planning a pregnancy.
Abnormal uterine bleeding is common and can often be managed effectively once the cause is identified. Even when no clear cause is found, there are still many options to help control bleeding and improve quality of life.
Your gynaecologist will work with you to find the most suitable treatment, taking into account your symptoms, health, and future fertility plans. You do not need to live with disruptive or worrying bleeding - effective treatments and support are available.
Medication
Medication to regulate hormones, reduce bleeding, or treat underlying causes.
Hormonal Intrauterine Device (IUD)
A hormonal intrauterine device (IUD), which can greatly reduce or stop bleeding in many women.
Surgery
Surgery may be recommended to remove polyps or fibroids, or to treat other structural causes of bleeding.
In some cases, endometrial ablation (removal of the womb lining) or hysterectomy may be discussed if other treatments are not effective or suitable.
Find A Specialist
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Dr Kate van Harselaar
Gynaecologist
