Abnormal Menstrual Bleeding
Abnormal Uterine Bleeding refers to either excessive menstrual bleeding
(also called menorrhagia), or bleeding/spotting that occurs between periods
or after menopause. It also includes a condition know as dysfunctional
uterine bleeding, which is menstrual bleeding that occurs more often than
every 21 days or farther apart than 35 days. Dysfunctional Uterine Bleeding
(DUB) may also result in periods that last longer than seven days.
Abnormal Uterine Bleeding can occur as a result of many different types
- Hormonal imbalances
- Fibroids or polyps
- An infection
- Ectopic pregnancy or miscarriage
- Uterine disease
- The use of certain medications
It’s important to see your physician to evaluate the cause of abnormal
uterine bleeding, particularly for menopausal and postmenopausal women.
To determine the cause of the problem, your physician will perform a thorough
pelvic examination, discuss your symptoms and medical history, and in
most cases order a Pap Test. In addition, your physician may also recommend
other diagnostic tests such as blood work, pelvic ultrasound or laparoscopy
to help further clarify or diagnose the cause of the problem.
When it comes to treating menstrual irregularities, there are many options
depending on the cause of the problem. In the case of excessive bleeding
(menorrhagia) or dysfunctional uterine bleeding (DUB), treatment options
may include: hormonal therapy, dilation and curettage (D&C), hysteroscopic
procedures to remove polyps, and endometrial ablation or resection. In
the case of bleeding or spotting between periods, treatment varies and
may include hormonal therapy and treatments to resolve infection or inflammation.
At Hoag, our multidisciplinary team of board-certified gynecologic health
experts includes gynecologists, urogynecologists, reproductive endocrinologists
and other subspecialists who work together to provide a coordinated approach
in the treatment of menstrual irregularities, including the latest progressive
treatment options personalized to meet the needs of the individual patient.
If surgery is necessary, Hoag’s expert team is well versed in the
full gamut of minimally invasive laparoscopic techniques, including robotic-assisted
surgery utilizing the state-of-the-art da Vinci® Surgical System.
For more information about the diagnosis and treatment of menstrual problems,
please speak with your physician, or locate a Hoag-affiliated physician