Abnormal uterine bleeding is any heavy or unusual bleeding from the uterus (through your vagina). It can occur at any time during your monthly cycle, including during your normal menstrual period or when in pregnancy, menopause, or before menarche.
When is bleeding abnormal?
Bleeding in any of the following situations is considered abnormal uterine bleeding:
– Bleeding or spotting between periods
– Bleeding or spotting after sex
– Heavy bleeding during your period
– Menstrual cycles that are longer than 38 days or shorter than 24 days
– “Irregular” periods in which cycle length varies by more than 7–9 days
– Bleeding after menopause
How is abnormal vaginal bleeding treated?
Treatment for abnormal vaginal bleeding depends on the underlying cause, and may include:
– Medication birth control pills or hormone-releasing intrauterine devices.
– Uterine fibroid embolization (UFE). In this minimally invasive procedure guided by an x-ray camera called a fluoroscope, tiny particles are injected through a catheter into uterine arteries that are delivering blood to fibroids, blocking blood flow and causing the fibroids to shrink.
– Endometrial ablation. Guided by a narrow lighted tube with a viewing device on the end (called a hysteroscope), the lining of the uterus is destroyed using a laser or other specialized instruments that produce heat, freezing, microwave energy or electrical currents.
– Myomectomy, the surgical removal of fibroids.
– Dilation and curettage (D&C). A procedure in which endometrial tissue is gently scraped or suctioned from the uterus.
– Hysterectomy. A surgical procedure in which the uterus is removed.
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