Abnormal Vaginal Bleeding Treatment in Bangalore

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

At what ages is abnormal bleeding more common?

Abnormal bleeding can occur at any age. However, at certain times in a woman’s life it is common for periods to be somewhat irregular. Periods may not occur regularly when a girl first starts having them (around age 9–14 years). During perimenopause (beginning in the mid–40s), the number of days between periods may change. It also is normal to skip periods or for bleeding to get lighter or heavier during perimenopause.

What causes abnormal bleeding?

Some of the causes of abnormal bleeding include the following:

• Problems with ovulation
• Fibroids and polyps
• A condition in which the endometrium grows into the wall of the uterus
• Bleeding disorders
• Problems linked to some birth control methods, such as an intrauterine device (IUD) or birth control pills
• Miscarriage
• Ectopic pregnancy
• Certain types of cancer, such as cancer of the uterus
• Your obstetrician–gynecologist (ob-gyn) or other health care professional may start by checking for problems most common in your age group. Some of them are not serious and are easy to treat. Others can be more serious. All should be checked.

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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