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Thu, 14 Dec 2023

Abnormal Uterine Bleeding-AUB

What is Abnormal Uterine bleeding ?

Abnormal uterine bleeding is defined as any dysfunctional bleeding that occurs in the absence of recognizable pelvic pathology, disease or pregnancy. It can present as bleeding between periods, scanty bleeding, heavy bleeding, prolonged bleeding. It is a common and debilitating condition with many direct and indirect causes, and affects nearly every woman at some point in her life.

What are the symptoms?

  • Irregular periods
  • Bleeding between periods
  • Scanty periods
  • Heavy bleeding during periods
  • Prolonged bleeding during periods
  • Post menopausal bleeding

When to visit a gynecologist?

Please visit your gynecologist if you are bothered by irregular periods or irregular menstruation, bleeding between periods, scanty periods, heavy periods, prolonged bleeding during periods, or postmenopausal bleeding. You can get some of the best options for the treatment of heavy and abnormal uterine bleeding in South Delhi at Queen’s Gynecology Clinic.

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Why do you have all these symptoms in Abnormal Uterine Bleeding?

There can be many causes of abnormal uterine bleeding. One major cause is structural abnormalities in the uterus, which are in the form of fibroids, which are a benign overgrowth of the muscle of the uterus. Another important cause is polyps, which are benign overgrowths of the lining of the uterus or on the cervix. Uterine cancer or cervical cancer constitutes an important cause as well.

There are non-structural causes of abnormal uterine bleeding also. Bleeding disorders such as platelet dysfunction can cause abnormal bleeding. Early pregnancies can have some bleeding associated with them, typical of implantation bleeding or low-lying placenta.

Polycystic ovary syndrome may cause your periods to come at different times or no periods at all, due to hormonal imbalance. Rarely, women who are going into menopause or are in menopause are more apt to have changes in hormones, which can alter the lining of the uterus and cause bleeding.

Complications of Abnormal Uterine Bleeding:

  • Anemia or extreme weakness
  • Hypotension or fainting attacks
  • Infertility
  • Endometrial cancer
  • Need for blood transfusion
  • Need for removal of the uterus
Management

Diagnosis & treatment of heavy periods

Our team at Queens Gynecology follows a multidisciplinary approach to provide the best treatment for abnormal uterine bleeding and heavy periods in Delhi. We perform a battery of investigations for ruling out numerous causes of Abnormal Uterine Bleeding. In cases where we are unable to pinpoint an exact cause, we recommend a hysteroscopy in order to evaluate the uterus. We believe in individualizing each woman who is searching for the best heavy periods treatments

Diagnostic modalities include a detailed history and physical examination, pap smears, a transvaginal ultrasound, thyroid function tests, complete blood counts, coagulation parameters, hysteroscopic evaluation, and endometrial sampling.

The treatment includes:

  • Medical management using drugs like tranexamic acids and NSAIDS
  • Hormones like progesterone or combined oral contraceptives.
  • Intrauterine device like Mirena
  • Hysteroscopic evaluation and curettage
  • Hysteroscopic guided endometrial biopsy
  • Myomectomy in case of fibroids
  • Hysterectomy in cases where medical method has failed or when indicated

FAQ's

  1. What is AUB in gynaecology?
  2. AUB in gynaecology refers to "Abnormal Uterine Bleeding," encompassing various menstrual irregularities beyond the norm. It includes heavy or prolonged periods, intermenstrual bleeding, and irregular cycles. 

    AUB can result from hormonal imbalances, structural issues, or medical conditions. Diagnosis involves medical history, physical exams, and possibly imaging or lab tests. Treatment varies based on underlying causes, ranging from hormonal therapies to minimally invasive procedures or surgery. 

    Addressing AUB is vital to enhance women's health and quality of life, preventing anaemia and ensuring timely management of any underlying conditions contributing to abnormal bleeding.

  3. What is AUB in the reproductive age?
  4. In reproductive age, AUB stands for "Abnormal Uterine Bleeding," referring to atypical menstrual patterns that deviate from the typical cyclic flow. This includes heavy or prolonged bleeding, irregular cycles, and intermenstrual spotting. 

    AUB in reproductive years often results from hormonal imbalances, polycystic ovary syndrome (PCOS), uterine fibroids, or other underlying health issues. Effective management is crucial to ensure fertility preservation, optimize reproductive health, and alleviate associated symptoms, often involving tailored treatments such as hormonal therapies, lifestyle adjustments, or minimally invasive procedures, depending on the underlying cause.

  5. What is the first line of treatment for AUB?
  6. The primary approach for treating AUB (Abnormal Uterine Bleeding) depends on the underlying cause and the individual's health status. Hormonal therapies, like combined oral contraceptives or progestin-only medications, are commonly considered the initial treatment. They regulate menstrual cycles, reduce bleeding, and alleviate symptoms. 

    Non-hormonal options, such as nonsteroidal anti-inflammatory drugs (NSAIDs), might be used for specific cases. If AUB persists or if structural abnormalities are identified, minimally invasive procedures like endometrial ablation or dilation and curettage could be considered. Surgical interventions, like hysterectomy, are typically reserved for extreme circumstances or when other treatments are inefficient. Personalized treatment plans should be devised in consultation with a healthcare provider.

  7. What causes AUB in the uterus?
  8. Abnormal Uterine Bleeding (AUB) can stem from various causes within the uterus. Hormonal imbalances, like those seen in polycystic ovary syndrome (PCOS) or thyroid disorders, disrupt the regular menstrual cycle and trigger AUB. Uterine fibroids, noncancerous developments in the uterine wall, can usher to heavy or prolonged bleeding. 

    Endometrial polyps, overgrowths of the uterine lining, can also cause AUB. Structural issues like adenomyosis, where the uterine lining grows into the muscle, and uterine cancer might result in abnormal bleeding. Infections, certain medications, and bleeding disorders can contribute as well. A thorough medical evaluation is crucial to pinpoint the specific cause and guide appropriate treatment.

  9. Does AUB affect pregnancy?

Yes, Abnormal Uterine Bleeding (AUB) can impact pregnancy. The irregular menstrual patterns and hormonal imbalances associated with AUB might make it challenging to predict ovulation and conception. Additionally, underlying conditions causing AUB, such as polycystic ovary syndrome (PCOS) or uterine fibroids, could affect fertility. 

In some cases, AUB could indicate an underlying issue that might complicate pregnancy, such as uterine abnormalities or hormonal irregularities. If pregnancy occurs with untreated AUB, it might lead to increased risks of miscarriage, preterm birth, or other complications. Addressing AUB before attempting pregnancy is advisable to optimize reproductive health and enhance pregnancy outcomes.

Testimonials

Pia

Dr Priya is an amazing doctor. She is so generous. I had been consulting her since my first pregnancy. It was a c-sec. Throughout my pregnancy she was always there for my late night calls and doubt sessions. I got recovered within a week after surgery. Even now I am pregnant with a second kid after a year of my first delivery. I am more confident and a happy mother because of her. Thank you Dr. Priya. I really can't express in words.

Neelima Singh

Dr. Priya is very patient and empathetic person and answer all your queries with a detailed honest response. She is also available on WhatsApp which is a great help in times of unseen emergencies. She is very knowledgeable and has a very pleasant personality. She did not recommend any unnecessary tests and medication. Even for females over 40+, who are struggling with the harmonal issues, her consultation is boon. Thanks Dr Priya for being there for us!

Radhika Gupta

Dr. Priya is very patient and empathetic person and answer all your queries with a detailed honest response. She is also available on WhatsApp which is a great help in times of unseen emergencies. She is very knowledgeable and has a very pleasant personality. She did not recommend any unnecessary tests and medication. Even for females over 40+, who are struggling with the harmonal issues, her consultation is boon. Thanks Dr Priya for being there for us!

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