Abnormal uterine bleeding is bleeding from the uterus that is different from your usual pattern in time, amount or length. It’s one of the most common reasons women visit a gynecologist, and in most cases, it can be successfully treated.
What Does It Appear Like?
It can come in a couple of different forms: cycles that are too frequent or not frequent enough, bleeding between cycles, heavy or prolonged bleeding, spotting after intercourse, or any bleeding after menopause.
Structural Causes
Doctors often remember these by the PALM-COEIN classification. Structural issues include polyps, adenomyosis, leiomyomas (fibroids), and malignancy or hyperplasia of the uterine lining.
Non-Structural Causes
- Disorders of coagulation
- Ovulatory dysfunction, e.g. thyroid disease or PCOS
- Endometrial causes Iatrogenic causes (e.g. drugs, IUD)
- Conditions not yet classified
Stress, rapid weight changes, and perimenopause can also throw cycles off balance.
How Is It Diagnosed?
Assessment may include a pelvic examination, pregnancy test, blood count, hormone testing, ultrasound and occasionally hysteroscopy or an endometrial biopsy, especially in women over 40 or with risk factors.
If symptoms persist, treatment for abnormal uterine bleeding Indore will help treat the underlying cause and not just controlling the bleeding for a temporary period.
Treatment Strategies
Therapy varies with the cause, your age and your plans for pregnancy:
- Hormonal therapy: combined pills, progestin, or hormonal IUD
- Non-hormonal medications: tranexamic acid or anti-inflammatory drugs
- Procedures: hysteroscopic polypectomy, myomectomy or endometrial ablation
- Hysterectomy: Reserved for patients who do not respond to other treatments
Why Timely Care Matters
Continuous bleeding can lead to anemia and at times may indicate alterations in the uterine lining that require early assessment. Refrain from self-medication with hormonal tablets.
Helpful Habits
Get to a healthy weight, manage stress, keep a menstrual diary and follow up as advised.
When to seek urgent medical help
If you are bleeding very heavily and feel dizzy or faint, go to urgent care. If you are still worried, visit a gynecologist in Indore. They can check you, run the tests needed, and recommend a treatment plan to make your cycles normal and keep your health safe.