ABNORMAL BLEEDING

What Is Abnormal Uterine Bleeding?

AUB refers to bleeding that is irregular in timing, volume, or duration. It includes:

• Heavy menstrual bleeding (menorrhagia)

• Bleeding between periods (metrorrhagia)

• Prolonged periods

• Bleeding after sex

• Postmenopausal bleeding

While occasional changes in your cycle can be normal, persistent or disruptive bleeding deserves medical attention.

Common Causes

We perform a thorough evaluation to identify the underlying cause. Common contributors include:

• Hormonal imbalances (e.g., PCOS, thyroid disorders)

• Fibroids or uterine polyps

• Endometrial hyperplasia or cancer

• Ovulatory dysfunction

• Infection or trauma

• Perimenopause or menopause transition

• Medication side effects (including birth control)

How We Evaluate Abnormal Bleeding

At Complete Healthcare for Women, we begin with a detailed history and physical exam. Diagnostic tools may include:

• Pelvic ultrasound to assess the uterus and ovaries

• Endometrial biopsy to evaluate the uterine lining

• Hormone and thyroid blood tests

• Pap smear and cervical cultures

Each step is tailored to your age, symptoms, and risk factors.

Personalized Treatment Options

Treatment depends on the cause, your reproductive goals, and overall health. Options may include:

• Hormonal management: Birth control pills, progesterone therapy, or IUDs

• Non-hormonal medications: For patients with contraindications

• Minimally invasive surgery: Hysteroscopy, D&C, or polyp removal

• Endometrial ablation: For women who no longer wish to conceive

• Surgical options: Myomectomy or hysterectomy, when appropriate

We’ll work closely with you to find the most effective and comfortable solution.

When to Seek Help

If you're experiencing:

• Soaking through pads every 1–2 hours

• Bleeding longer than 7–10 days

• Bleeding between periods or after sex

• Postmenopausal bleeding

• Symptoms of anemia (fatigue, dizziness)

We encourage you to schedule an appointment for a comprehensive evaluation.