Abnormal Uterine Bleeding

Abnormal Uterine Bleeding

What is Abnormal Uterine Bleeding?

Abnormal Uterine Bleeding (AUB) is bleeding from the uterus that is longer than usual or that occurs at an irregular time. Bleeding may be heavier or lighter than usual and occur often or randomly.

Symptoms

There are a number of symptoms of Abnormal Uterine Bleeding, which may include

Bleeding after sex
Bleeding after menopause
Bleeding while pregnant
Bleeding before age 9
Heavier bleeding than usual
Spotting or bleeding between periods
Bleeding for more days than normal (menorrhagia)
Menstrual cycles longer than 35 days or shorter than 21 days

Complications

Complications of chronic abnormal uterine bleeding can include anemia, infertility, and endometrial cancer. Acute abnormal uterine bleeding, severe anemia, hypotension, shock, and even death may result if prompt treatment and supportive care are not initiated.

Causes

Uterine fibroids
Uterine polyps
Polycystic ovary syndrome
Severe weight loss
Cancers of ovaries, uterus, cervix, or vagina
Bleeding disorders or problems with blood clotting

Prevention

Maintain a healthy weight
Take your birth control pills as directed and at the same time every day
Take your hormone replacement therapy as directed and at the same time every month
Take a stress management class, listen to soothing music, or learn some relaxation exercises — step back and smell the roses

Risk Factors

It may occur in pregnancy, secondary to hemostatic disorders, pathology of the genital tract, infections, systematic diseases, endocrine disturbance, obesity, stress, and extreme exercise account can all disrupt normal ovulatory function and may be considered as preventable risk factors for AUB

How is it diagnosed?

How is it diagnosed?

Surgical options include uterine artery embolization, endometrial ablation, or hysterectomy. Medical management options include a levonorgestrel-releasing intrauterine device (IUD), GnRH agonists, systemic progestins, and tranexamic acid with non-steroidal anti-inflammatory drugs (NSAIDs).

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