What is abnormal uterine bleeding?
Normally, a woman’s menstrual cycle runs anywhere between 24 and 38 days, with up to eight days of menstruation. Any bleeding outside of the normal menstrual cycle is considered abnormal uterine bleeding.
Examples include:
- A period that lasts longer than eight days
- Bleeding in between your period
- Bleeding during intercourse
- Heavy menstrual bleeding
- A menstrual cycle that’s longer than 38 days or shorter than 24 days
- Irregular period
- Bleeding after menopause
Many women experience abnormal uterine bleeding, which can cause uncomfortable and inconvenient symptoms. At Oasis Women's Health, Dr. Skanes can provide the care you need.
She understands that many women, particularly women of color, may not seek medical help for their gynecological conditions, thinking they’re normal and untreatable. But Dr. Skanes uses both traditional and alternative approaches to effectively diagnose and treat abnormal uterine bleeding.
What causes abnormal uterine bleeding?
It’s not uncommon for women to experience abnormal uterine bleeding at the start of their menstrual cycle and during perimenopause. But your abnormal bleeding may also develop from an underlying gynecological problem, such as:
- Fibroids
- Polyps
- Ovulation problems, including polycystic ovary syndrome (PCOS)
- Endometriosis
- Miscarriage
- Ectopic pregnancy
- Certain types of gynecological cancer
Abnormal uterine bleeding may also develop when using certain types of birth control, such as the intrauterine device (IUD) or birth control pills.
What happens during an abnormal uterine bleeding consultation?
When you visit Oasis Women's Health for an abnormal uterine bleeding consultation, Dr. Skanes conducts an in-depth exam to find the root cause of your symptoms.
She reviews your menstrual cycle and the types of symptoms you’re experiencing. She also asks about your gynecological, medical, and family history and performs a physical and pelvic exam.
To confirm or rule out a suspected diagnosis, Dr. Skanes may request diagnostic tests, such as blood work, urinalysis, or ultrasound testing.
How is abnormal uterine bleeding treated?
Dr. Skanes takes a patient-centered approach to care and develops personalized treatment plans for abnormal uterine bleeding based on the underlying cause, the severity of symptoms, and personal preferences.
Your treatment plan may include:
- Hormonal birth control
- Gonadotropin-releasing hormone (GnRH) agonist (stops the menstrual cycle, shrinks fibroids)
- Tranexamic acid (treats heavy bleeding)
- Nonsteroidal anti-inflammatory drugs (to reduce cramping and heavy bleeding)
- Antibiotics to treat an infection
- Acupuncture
- Massage therapy
- Nutritional supplements
If medical treatments fail to improve your abnormal bleeding, Dr. Skanes may recommend minimally invasive surgery, such as endometrial ablation or myomectomy (surgery to remove fibroids).
Abnormal uterine bleeding is common, but not normal. To get the care you need, call Oasis Women's Health or book an appointment online today.
