Abnormal Uterine Bleeding (AUB) is a prevalent gynecological concern that impacts many women at some stage in their lives. It refers to any unusual bleeding pattern outside the normal menstrual cycle. While occasional variations in menstrual flow are common, persistent or heavy bleeding should not be dismissed.
To appreciate what constitutes abnormal uterine bleeding, let's briefly understand the normal menstrual cycle. A typical menstrual cycle lasts around 28 days, although 21-35 days cycles are common. Menstruation occurs as a result of the shedding of the uterine lining, and the bleeding usually lasts for about 3 to 7 days. Any deviations from this pattern may be considered abnormal.
Fluctuations in hormonal levels, particularly estrogen and progesterone, can disrupt the normal menstrual cycle. Conditions like Polycystic Ovary Syndrome (PCOS), thyroid disorders or perimenopause can contribute to hormonal imbalances.
Non-cancerous growths in the uterus, known as fibroids, can lead to hefty or extended menstrual bleeding. Fibroids are relatively common and may require medical attention if they cause significant discomfort or interfere with fertility.
Also, conditions like endometriosis and adenomyosis, which are conditions relating to endometrial glandular activity outside the uterus, are also becoming common. These need to be diagnosed early and treated appropriately.
Endometrial polyps are growths in the lining of the uterus that can cause irregular bleeding. While usually benign, they may need to be removed if causing symptoms or if there's concern about cancer.
Infections of the reproductive organs, often resulting from sexually transmitted infections (STIs), can lead to inflammation and abnormal bleeding.
Rarely coagulation disorders, which are conditions affecting blood clotting, can result in heavy menstrual bleeding. Disorders such as von Willebrand disease or platelet dysfunction may be involved.
It is crucial to recognize when abnormal uterine bleeding requires prompt medical attention. Consult a medical professional in the following cases:
understanding the potential causes of abnormal uterine bleeding is the first step toward seeking appropriate medical care. If you or someone you know is experiencing unusual menstrual patterns, don't hesitate to consult with a gynaecologist. Early detection and treatment can address underlying issues, ensuring long-term reproductive health and well-being.
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Abnormal uterine bleeding refers to any kind of bleeding outside the normal pattern of menstrual periods. A woman’s menstrual period is fairly consistent unless she is suffering from irregular periods or similar issues. If your bleeding is more frequent, longer, or heavier than usual, it is abnormal uterine bleeding and requires immediate medical attention.
In general, menstruating women will bleed once in 25-38 days, and the bleeding will last about 3-7 days. If you are bleeding longer or more frequently, or require changing more than one pad an hour, it can be abnormal bleeding. Such bleeding is mostly triggered by hormonal imbalances of polyps or other structural problems in the uterus. You should consult your gynaecologist immediately.
If your menstrual cycle is shorter than 24 days or longer than 38 days, lasts more than 7 days, or requires you to change a sanitary pad every hour or sooner, you should consult your gynaecologist without any delay. Excess bleeding can lead to other complications in very little time.
Your doctor will evaluate your bleeding by taking note of your medical history in detail, which includes your menstrual cycle details. Next, they will physically examine your pelvic area and follow it up with diagnostic tests that will include blood tests and ultrasound scans. All these details are required to determine if and why your uterine bleeding is abnormal.
