UNDERSTANDING INFERTILITY
Abnormal Uterine Bleeding
Abnormal uterine bleeding (AUB) is a common gynecological condition affecting women of all ages. This condition can disrupt daily life, impact physical health, and affect emotional well-being. Understanding the causes and treatment options for AUB can help individuals manage their symptoms and seek timely medical care.
What is Abnormal Uterine Bleeding?
AUB refers to any bleeding from the uterus that differs from a normal menstrual cycle. This includes bleeding that is excessively heavy, occurs at irregular intervals, lasts longer than usual, or occurs between periods. AUB can also refer to postmenopausal bleeding. While variations in menstrual cycles are normal for many women, prolonged or severe irregularities may indicate an underlying medical issue that requires attention.​
Causes of Abnormal Uterine Bleeding
AUB can result from a variety of causes, which are categorized into structural and non-structural issues. Common structural causes include:
Endometrial Polyps
Noncancerous growths in the uterus or cervix that can cause irregular bleeding.
Adenomyosis
A condition where the uterine lining grows into the uterine muscle, leading to heavy or prolonged bleeding.
Leiomyoma
Also known as fibroids, these are benign tumors of the uterus that can distort the uterine cavity and lead to heavy bleeding.
Malignancy and Endometrial Hyperplasia
Precancerous or cancerous changes in the uterus can also cause abnormal bleeding.
Treatment Options for AUB
The treatment for AUB depends on its underlying cause, the severity of symptoms, and the patient's age, health, and reproductive goals.
Non-Surgical Treatments
Medications
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Hormonal therapies, such as oral contraceptives, progestins, or hormonal IUDs, help regulate menstrual cycles and reduce bleeding
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Non-hormonal options like tranexamic acid or nonsteroidal anti-inflammatory drugs (NSAIDs) can manage heavy bleeding.
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Iron supplements may be prescribed for anemia caused by excessive blood loss.
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Lifestyle Changes
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Maintaining a healthy weight and managing stress may improve hormonal balance.
Surgical Treatments
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Hysteroscopy: Used to remove polyps or fibroids.
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Endometrial Ablation: A procedure that destroys the uterine lining to reduce or stop bleeding.
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Myomectomy: Removal of fibroids while preserving the uterus.
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Hysterectomy: A last-resort procedure involving the removal of the uterus, typically for severe cases or when other treatments have failed.​
When to Seek Medical Help
It’s important to consult a healthcare provider if you experience:
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Bleeding that lasts longer than usual.
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Heavy bleeding that requires frequent pad or tampon changes.
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Bleeding between periods or after menopause.
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Symptoms of anemia, such as fatigue, dizziness, or shortness of breath.
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Early diagnosis and treatment can help address AUB effectively, improve quality of life, and prevent complications.
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At Audubon Fertility, we specialize in diagnosing and treating abnormal uterine bleeding with compassionate, individualized care. Contact us today to schedule a consultation and regain control of your health.
