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Irregular Bleeding

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Acute

What is Irregular 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. AUB can occur: As spotting or bleeding between your periods.

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  • Bleeding after sex.
  • Bleeding before age 9.
  • Bleeding after menopause.
  • Bleeding while pregnant.
  • 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 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.

  • Hormonal changes.
  • Trauma to the vagina.
  • Infection in the vagina or uterus.
  • Fibroids or polyps inside the uterus.
  • Some medications such as anticoagulants or anti-epilepsy drugs.
  • Contraception such as the pill, injection or IUD (intrauterine device)
  • Age: The risk is higher in adolescents and women over the age of 45.
  • Obesity: The risk is higher in women who are overweight or obese.
  • Medication: Women who take blood thinners, anti-inflammatory medications, or cancer medications are at a higher risk.
  • 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.

How is it diagnosed?

How is it diagnosed?
  • Anti-inflammatory drugs.
  • Antibiotics.
  • Change of contraception.
  • Hormone therapy.
  • Anti-bleeding agents such as tranexamic acid.
  • Surgery to remove fibroids, polyps or cancers.
  • Treatment for any underlying health problem.
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How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

  • Hysteroscopy. A procedure where your provider removes atypical structures in your uterus, like fibroids and polyps.
  • Uterine artery embolization. Stops blood flow to fibroids, causing them to shrink.
  • Myomectomy.
  • Endometrial ablation.
  • Hysterectomy.

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