Abnormal uterine bleeding

From WikiMD's Wellnesspedia

Abnormal uterine bleeding (AUB), also known as menorrhagia, is a broad term that describes irregularities in the menstrual cycle involving frequency, regularity, duration, and volume of blood flow. AUB is a common gynecological complaint and can significantly impact a woman's quality of life, work productivity, and overall health status.

Causes[edit | edit source]

Abnormal uterine bleeding can be caused by a variety of conditions. These include, but are not limited to:

  • Hormonal imbalance: This is the most common cause of AUB. Hormonal imbalances can occur due to various reasons such as polycystic ovary syndrome (PCOS), thyroid disorders, and perimenopause.
  • Uterine fibroids: These are non-cancerous growths in the uterus that can cause heavy or prolonged periods.
  • Endometrial polyps: These are small, benign growths on the lining of the uterus (the endometrium) that can cause irregular or heavy bleeding.
  • Adenomyosis: This condition occurs when the endometrial tissue grows into the muscular wall of the uterus, causing painful and heavy periods.
  • Cancer: Uterine, cervical, and ovarian cancers can all cause abnormal bleeding.

Symptoms[edit | edit source]

The primary symptom of AUB is bleeding that is irregular in frequency, duration, or volume. This can include:

  • Menstrual cycles that are shorter than 24 days or longer than 38 days
  • Bleeding between periods
  • Heavy bleeding during periods
  • Menstrual periods that last longer than a week
  • Postmenopausal bleeding

Diagnosis[edit | edit source]

Diagnosis of AUB involves a thorough medical history, physical examination, and various diagnostic tests. These may include:

  • Pelvic ultrasound: This imaging test can help identify abnormalities in the uterus, such as fibroids or polyps.
  • Endometrial biopsy: In this procedure, a small sample of the endometrial tissue is removed and examined under a microscope.
  • Hysteroscopy: This procedure involves inserting a thin, lighted tube into the vagina to examine the cervix and inside of the uterus.

Treatment[edit | edit source]

Treatment for AUB depends on the underlying cause, the severity of symptoms, and the woman's reproductive plans. Options may include:

Resources[edit source]

Latest articles - Abnormal uterine bleeding

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AI tools[edit source]

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Contributors: Prab R. Tumpati, MD