Abnormal Uterine Bleeding

Abnormal uterine bleeding (AUB) refers to menstrual bleeding that differs from a woman's usual pattern in frequency, duration, regularity, or amount. It can occur at different stages of life and may be associated with hormonal imbalances, uterine fibroids, polyps, thyroid disorders, or other gynaecological conditions. Early evaluation helps identify the underlying cause and determine the appropriate treatment.

At Precision Medical Centre, Noida, Dr. Sangeeta Sharma, Director and Senior Consultant in Obstetrics, Gynaecology and Laparoscopic Surgery, provides personalised assessment and management guidance for abnormal uterine bleeding and related menstrual health concerns.

Understanding Abnormal Uterine Bleeding

Menstrual cycles vary from person to person, but persistent changes in bleeding patterns may require medical attention. Abnormal uterine bleeding can occur during adolescence, reproductive years, perimenopause, or other stages of life.

Common signs include:

Heavy Menstrual Bleeding: Periods that involve excessive blood loss or interfere with daily activities.
Prolonged Periods: Menstrual bleeding that lasts longer than usual.
Irregular Menstruation: Periods that occur unpredictably or at unusual intervals.
Bleeding Between Periods: Unexpected bleeding or spotting between menstrual cycles.
Frequent Periods: Menstrual bleeding that occurs more often than expected.
Bleeding After Menopause: Any vaginal bleeding after menopause that requires prompt medical evaluation.

Heavy or prolonged bleeding can sometimes lead to iron deficiency and anaemia, causing fatigue, weakness, or dizziness.

Common Causes of Abnormal Uterine Bleeding

Several factors may contribute to abnormal menstrual bleeding, including:

Hormonal imbalances affecting ovulation.
Polycystic Ovary Syndrome (PCOS).
Uterine fibroids and endometrial polyps.
Thyroid disorders and other medical conditions.
Certain medications or contraceptive methods.
Changes associated with perimenopause.
Pregnancy-related complications, which must be considered when relevant.

Identifying the underlying cause is essential for selecting suitable treatment.

Diagnosis and Evaluation

Dr. Sangeeta Sharma evaluates menstrual history, bleeding patterns, associated symptoms, medical background, and reproductive health needs. Depending on the patient's age and symptoms, investigations may include:

Blood tests to check for anaemia and other relevant conditions.
Pregnancy testing when appropriate.
Thyroid or other hormonal investigations when indicated.
Pelvic ultrasound to examine the uterus and ovaries.
Further assessment of the uterine lining or other diagnostic procedures when clinically necessary.

The recommended investigations depend on individual circumstances and clinical findings.

Treatment Options for Abnormal Uterine Bleeding

Treatment is tailored to the underlying cause, severity of bleeding, age, medical history, and future pregnancy plans. Management may include:

Medication to control bleeding or regulate menstrual cycles.
Treatment of hormonal disorders or underlying medical conditions.
Iron supplementation when iron deficiency is identified.
Hormonal contraceptive options when appropriate.
Procedures to treat uterine polyps or fibroids when indicated.
Surgical management in selected cases when other treatments are unsuitable.

Seek urgent medical care if heavy bleeding is accompanied by fainting, severe dizziness, breathlessness, severe pain, or possible pregnancy-related complications.

Consult a Gynaecologist for Abnormal Uterine Bleeding in Noida

Persistent changes in menstrual bleeding should not be ignored. Timely consultation can help identify the cause, manage symptoms, and reduce the risk of complications such as anaemia.

If you are looking for an experienced gynaecologist in Noida for abnormal uterine bleeding, consult Dr. Sangeeta Sharma at Precision Medical Centre for personalised evaluation, appropriate treatment, and ongoing menstrual health care.