Abnormal uterine bleeding (AUB) refers to menstrual bleeding that is heavier, longer, more frequent, irregular, or occurs between periods. It can affect women at different stages of life and may be linked to hormonal changes, fibroids, polyps, adenomyosis, thyroid disorders, ovulation problems, certain medicines, or other conditions. Persistent or unusual bleeding should be evaluated by a qualified gynecologist to identify the underlying cause.
Understanding Abnormal Uterine Bleeding
Symptoms may include heavy menstrual bleeding, prolonged periods, bleeding between periods, or bleeding after sexual intercourse. Your doctor may review your menstrual history, medications, pregnancy status, and other symptoms. Depending on your age and individual risk factors, evaluation may include blood tests, pelvic examination, ultrasound, or other tests such as hysteroscopy or endometrial biopsy.
Abnormal Uterine Bleeding Treatment
Treatment is tailored to the cause, severity of bleeding, overall health, and future pregnancy plans. Medical treatment for heavy menstrual bleeding may include medicines that reduce blood loss, hormonal therapies, or other appropriate options. When conditions such as fibroids or polyps are responsible, minimally invasive or surgical procedures may be considered. In selected cases, procedures such as hysteroscopic treatment, endometrial ablation, or hysterectomy may be discussed after careful evaluation.
When to Seek Medical Care
Do not ignore bleeding that is significantly heavier than usual, continues for an extended period, repeatedly occurs between periods, or begins after menopause. Very heavy bleeding accompanied by dizziness, fainting, weakness, or other concerning symptoms requires prompt medical attention.
Why Individualized Care Matters
Effective abnormal uterine bleeding treatment starts with finding the reason for the bleeding rather than treating the symptom alone. A gynecologist can explain available options, discuss potential benefits and risks, and help you choose a treatment approach that fits your health needs and reproductive goals. Follow-up helps assess response and adjust treatment when appropriate.