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.
Abnormal bleeding can be caused by:
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.
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.
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.
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:
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).
We accept most insurances. Please call the office for any questions regarding insurance!
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