Abnormal Bleeding Specialist

Pali Women's Health Center and Pali MediSpa

OBGYNs located in Kailua, HI & Kapolei, HI

Many women are so accustomed to abnormal bleeding that they don’t even mention it during their annual physical. At Pali Women’s Health Center in Kailua and Kapolei, Hawaii, the all-female team of doctors knows that while abnormal bleeding is sometimes just that, it can also indicate an underlying problem. Patients are encouraged to visit with their doctor about any abnormal bleeding.

Abnormal Bleeding Q & A

How is abnormal bleeding defined?

There are a wide variety of situations that would qualify as abnormal uterine bleeding including spotting between periods, post-coital bleeding (bleeding after intercourse), heavy bleeding, or bleeding after menopause.

In medical terminology, abnormal bleeding is referred to as metrorrhagia.

What are the causes of abnormal bleeding?

Abnormal bleeding can be caused by:

  • Pregnancy
  • Ectopic pregnancy
  • Polyps
  • Fibroids
  • Polycystic ovary syndrome (PCOS)
  • Endometrial hyperplasia
  • Miscarriage
  • Adenomyosis
  • IUD
  • Infection

A review of the patient’s medical history and other symptoms in combination with diagnostic testing can help the healthcare provider identify the cause of a patient’s abnormal bleeding.

What can the patient do to prepare for their appointment?

The best way the patient can prepare for the appointment is to keep a menstruation calendar tracking variations in bleeding. Period days, spotting days, and heavy days (filling a pad or tampon in an hour) should be notated.

What tests can be done?

The types of tests depend on the characteristics of the abnormal bleeding, the patient’s medical history, and their associated symptoms. Diagnostic tests often used to identify reproductive problems include ultrasound, hysteroscopy, and MRI. A pelvic exam is typically performed as well.

When is emergency treatment required?

In most cases, abnormal uterine bleeding is not an emergency. However, there are some cases in which patients should seek immediately medical attention through a local emergency department:

  • The patient is hemorrhaging (bleeding profusely, losing blood)
  • The patient is pregnant and experiencing uterine bleeding
  • The patient is experiencing abnormal bleeding in conjunction with severe and sudden pain

What is an endometrial ablation?

Endometrial ablation is a procedure designed to reduce or stop uterine bleeding in women who don’t plan to have more children. During the procedure, the endometrium (lining of the uterus) is cauterized. When successful, this prevents the endometrium from building up menstrual tissue. In order to be eligible for the procedure, patients must be done having children, must be experiencing abnormal or painful menstrual cycles, and should be taking permanent measures to prevent pregnancy (tubal ligation or a partner's vasectomy).

Major Insurance Providers Accepted

We accept most insurances. Please call the office for any questions regarding insurance!

Deseret Mutual
Tricare West PPO
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