Abnormal uterine bleeding is any bleeding that occurs outside of the time period during a woman’s regular menstrual period. Abnormal bleeding includes bleeding between periods, bleeding after sex, spotting any time during the cycle, heavy bleeding, prolonged bleeding, and any bleeding after menopause. Menstrual cycles that are shorter than every 21 days or longer than every 35 days are also abnormal, as are a lack of periods for 3-6 months. Causes of abnormal bleeding include pregnancy, miscarriage, birth control pills and other contraceptive methods, fibroids, adenomyosis, polyps, infections, cancer, and polycystic ovarian syndrome (PCOS). Your doctor may order labs and perform tests to determine the cause of the abnormal bleeding, such as:
- Saline sonogram
- Endometrial biopsy
We perform ultrasound, saline sonogram, and endometrial biopsy in our office. Hysteroscopy is performed in a hospital or surgical center.
Once a diagnosis is made, you and your doctor can determine a treatment plan specific to you, taking into account your age, personal and family history, whether you want to have children, and any other personal wishes. Most women may be treated with medication, while other women may need surgery. Medications we offer include hormonal and non-hormonal options. The vast majority of surgeries we perform are minimally-invasive and are either outpatient or may require a one-night stay in the hospital.