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Are you Experiencing Abnormal Vaginal Bleeding?

Abnormal uterine bleeding is considered when vaginal bleeding is abnormally frequent, non-frequent or heavy, lasts excessively long, or there is irregular spotting between periods. Some common examples of abnormal bleeding include soaking through a pad or more each hour per bleeding episode, if your bleeding lasts longer than 5-7 days or if you’re experiencing spotting between periods.

You may have abnormal bleeding:

  • If your period lasts more than 5-7 days each month.
  • If you are soaking through a pad or more each hour per each bleeding episode.
  • If you are bleeding more than one episode every 3 weeks.
  • If you frequently experience fatigue, weakness and decreased energy with your
  • If you find it difficult to work, exercise, engage in sexual relations or any other activities
    you usually enjoy because of your bleeding.

Abnormal Bleeding Checklist

The abnormal bleeding checklist is a tool to help you identify your bleeding symptoms and experiences. You can print out this checklist to check the symptoms you’re experiencing and talk to your provider about.

Abnormal Bleeding Check List

What causes abnormal bleeding?

Abnormal bleeding can have many causes. Hormone changes, uterine fibroids, polyps, infection, endometrial hyperplasia, endometrial cancer, bleeding disorders and many other causes can contribute to heavy or excessive bleeding. Heavy and/or excessive bleeding is not uncommon, affecting 1 out of every 5 women and often starts between the ages of 30-40. If you are experiencing abnormal bleeding, the first step is to talk to your provider. In addition, if you are postmenopausal and suddenly start bleeding, please contact your healthcare provider immediately to rule out any serious causes.

What to expect when you see a provider

Your provider will first meet with you and put together a complete history of your bleeding patterns to help identify a potential cause. You can print off the Abnormal Bleeding Checklist to help you explain what you are experiencing with your provider. Your provider may do a series of tests to help identify cause of your spotting, heavy or excessive bleeding. Tests may include a pelvic ultrasound, hysteroscopy, labs and a biopsy. Afterwards, your provider will go over all of your treatment options to help you determine which treatment is the best for you.

What are the treatment options for abnormal bleeding?

Depending on the reason for your abnormal bleeding, your provider may suggest starting with medication therapy or the use of an intrauterine device (IUD). If the medications do not work or there is adverse reason to use medication for you then your provider may suggest an in-office procedure called an endometrial ablation offered at The Women’s Health Group. Other surgical options may include a dilation and curettage (D&C) or a hysterectomy if indicated.

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