Abnormal Uterine Bleeding

When is uterine bleeding abnormal?

Any bleeding that occurs outside of a “normal” cycle is considered “abnormal.” A normal cycle typically occurs every 21-35 days and lasts 3-5 days. Of course, every woman’s cycle is different, so if you always fall slightly outside these parameters, that could very well be normal for you. Changes to your cycle or bleeding that interfere with your daily function are likely abnormal.

Other symptoms that suggest abnormal bleeding include:

• Infrequent periods
• Extremely heavy bleeding that feminine hygiene products cannot control
• Spotting between periods
• Consistently bleeding for longer than five days

Don’t underestimate how disruptive abnormal bleeding can be to your life. You may find it interferes with your ability to do everyday activities, including work and school. You may experience severe cramping along with heavy bleeding.

Why should I seek medical care for abnormal uterine bleeding?

Abnormal bleeding is inconvenient and anxiety-provoking. You may feel anxious about accidentally bleeding through clothing. It can also disrupt sleep if you have to wake often to change your hygiene product.

Abnormal bleeding may also be a sign of a medical issue that needs attention from the team at Mira Women’s Health & Midwifery.

If you regularly have heavy periods that last for long durations, you are also at risk of developing iron-deficiency anemia. Indications of this condition include:

• Fatigue
• Hair loss
• Brittle nails
• Pale skin

The team at Mira Women’s Health & Midwifery can diagnose anemia and help you supplement accordingly.

What causes abnormal menstrual bleeding?

Many issues with your reproductive organs can cause abnormal bleeding. Some are perfectly natural, such as menopause, while others may require medical intervention. Abnormal bleeding may suggest:

• Endometriosis (overgrowth of the uterine lining)
• Problems with an intrauterine device (IUD)
• Polycystic ovary syndrome (PCOS)
• Benign uterine fibroids and polyps
• Bleeding disorders
• Miscarriage or ectopic pregnancy

In very rare cases, abnormal uterine bleeding can be a symptom of certain types of cancer.

Treatment for abnormal uterine bleeding depends on the determined cause. Hormone therapy and lifestyle changes are potential strategies. Minimally invasive surgery, NovaSure® - a radiofrequency treatment that gently removes the endometrial lining of the uterus - and MyoSure® - a targeted treatment to remove fibroids or polyps without removing the uterus - are other possible interventions. Sometimes, your doctor determines that the best course for your health and abnormal bleeding is a hysterectomy or removal of the uterus.

If you experience abnormal bleeding, don’t hesitate to contact Mira Women’s Health & Midwifery. Call, email, or book an appointment online today.