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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

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

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