Understanding Abnormal Uterine Bleeding (AUB) and Its Management

At Complete Healthcare for Women, we are committed to providing you with comprehensive information about AUB, its causes, and the available treatment options to help you manage this condition effectively.

What is Abnormal Uterine Bleeding (AUB)?

AUB is characterized by heavy, prolonged, or irregular menstrual bleeding. It can manifest as:

• Heavy periods (menorrhagia)

• Long periods lasting more than seven days

• Irregular periods with unpredictable cycle lengths

• Spotting or bleeding between periods

These symptoms can be disruptive and may indicate underlying health issues that require medical attention.

Causes of AUB

The causes of AUB can be broadly categorized into structural and non-structural issues:

• Structural causes include uterine fibroids, polyps, adenomyosis, and malignancies.

• Non-structural causes involve coagulopathies, ovulatory dysfunction, endometrial disorders, and systemic conditions like thyroid disorders.

Understanding the underlying cause of AUB is crucial for determining the appropriate treatment strategy.

Impact of AUB

AUB can have a profound impact on a woman's physical, emotional, and social well-being. Symptoms such as heavy bleeding can lead to iron-deficiency anemia, causing fatigue, weakness, and shortness of breath. Additionally, the unpredictability and severity of symptoms can interfere with daily activities, work, and personal relationships, leading to stress and decreased quality of life.

Treatment Options for AUB

Several treatment options are available for managing AUB, tailored to the underlying cause and the patient's needs. These include:

1. Medication

• Hormonal treatments: Birth control pills, progestins, and gonadotropin-releasing hormone (GnRH) agonists can help regulate menstrual cycles and reduce bleeding.

• Non-hormonal treatments: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce menstrual blood loss and alleviate pain.

2. Minimally Invasive Procedures

• Endometrial ablation: A procedure that destroys the lining of the uterus to reduce or stop bleeding. The NovaSure® endometrial ablation, for instance, is a quick, one-time procedure that can significantly improve symptoms and quality of life.

• Hysteroscopic procedures: These involve removing polyps or fibroids through the vagina, offering a less invasive alternative to traditional surgery.

3. Surgical Options

• Hysterectomy: The surgical removal of the uterus, considered when other treatments fail or are not suitable. This procedure is usually recommended for women who do not wish to preserve fertility.

Seeking Medical Help

Despite the significant impact of AUB, many women delay seeking medical help due to misconceptions, embarrassment, or lack of awareness. It is crucial to overcome these barriers and consult a healthcare provider if you experience any symptoms of AUB. Early diagnosis and treatment can prevent complications and improve your quality of life.

Conclusion

Abnormal uterine bleeding is a manageable condition with the right diagnosis and treatment. At Complete Healthcare for Women, we are dedicated to providing compassionate and effective care for women experiencing AUB. If you have concerns about your menstrual health, do not hesitate to seek professional advice.

Author

Richard Lorenzo, DO

Dr. Lorenzo is a Fellow of the American Congress of Obstetricians and Gynecologists (ACOG) and the American College of Osteopathic Obstetricians and Gynecologists (ACOOG), reflecting his expertise in women’s health. He provides comprehensive gynecological and obstetric services, including prenatal care up to 20 weeks, infertility evaluations, and general gynecology. Dr. Lorenzo specializes in advanced surgical techniques, offering minimally invasive procedures for abnormal uterine bleeding, endometriosis, and hysterectomy, ensuring quicker recovery and minimal discomfort for his patients. He is highly trained in high-risk obstetrics and adept at performing minimally invasive hysterectomies, providing women with effective solutions tailored to their needs. At Complete Healthcare for Women in Richland, WA, Dr. Lorenzo prioritizes personalized, compassionate care, empowering women to make informed health decisions.