abnormal bleeding - Gynecology

What is abnormal bleeding?

Abnormal bleeding, also known as abnormal uterine bleeding (AUB), refers to any bleeding from the uterus that is irregular in volume, duration, or timing. It can occur in women of all ages and may signal underlying health issues.

What are the common causes?

The causes of abnormal bleeding can be broadly categorized into structural and non-structural factors.
Structural causes include fibroids, polyps, and adenomyosis.
Non-structural factors include hormonal imbalances, coagulopathies, and ovulatory dysfunction.

How is abnormal bleeding diagnosed?

Diagnosis begins with a comprehensive medical history and physical examination. Diagnostic tests may include:
Pelvic ultrasound
Endometrial biopsy
Blood tests to check for anemia and clotting disorders

What are the treatment options?

Treatment depends on the underlying cause, severity, and the patient's reproductive goals. Options include:
Medications such as hormonal therapy and nonsteroidal anti-inflammatory drugs (NSAIDs).
Minimally invasive procedures like endometrial ablation and hysteroscopy.
Surgical interventions such as myomectomy or hysterectomy.

When should you see a doctor?

Consult a healthcare provider if you experience any of the following:
Bleeding between periods
Heavy menstrual bleeding
Bleeding after menopause
Any other unusual bleeding patterns

Can lifestyle changes help?

Lifestyle modifications can sometimes help manage symptoms. These may include:
Maintaining a healthy weight
Regular exercise
Balanced diet rich in iron and vitamins

Are there any potential complications?

If left untreated, abnormal bleeding can lead to complications such as anemia, severe pain, and in rare cases, it may indicate cancer. Early diagnosis and treatment are crucial for preventing these complications.

Conclusion

Abnormal bleeding is a common but significant gynecological issue that warrants timely medical attention. Understanding its causes, diagnostic methods, and treatment options can aid in effective management and improve quality of life.

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