Abnormal uterine bleeding refers to any unusual bleeding from the uterus unrelated to normal menstruation. It can manifest as heavy, prolonged, or frequent bleeding, or bleeding between periods. This condition often requires medical attention to determine the underlying cause.

Abnormal Uterine Bleeding FAQ


What causes abnormal uterine bleeding?

Abnormal uterine bleeding can be caused by hormone imbalances, uterine fibroids, polyps, adenomyosis, or other underlying conditions. It is essential to consult a healthcare professional for an accurate diagnosis.

Is abnormal uterine bleeding common?

Yes, abnormal uterine bleeding is a relatively common issue, especially among women approaching menopause. However, it can occur at any age and should be evaluated by a doctor to rule out serious causes.

When should I seek medical help for abnormal uterine bleeding?

Seek medical help promptly if you experience heavy bleeding that soaks through pads or tampons in an hour, bleeding after menopause, severe pelvic pain, or if you suspect pregnancy-related bleeding.

Can abnormal uterine bleeding be managed with medication?

Yes, various medications can help manage abnormal uterine bleeding, such as tranexamic acid, mefenamic acid, norethisterone, or combined oral contraceptives. However, the most suitable treatment should be determined by a healthcare professional based on the underlying cause.

What are the potential complications of untreated abnormal uterine bleeding?

Untreated abnormal uterine bleeding can lead to anemia, fatigue, and in severe cases, it may indicate a serious condition such as endometrial cancer. Seeking prompt medical attention is crucial.

What are the lifestyle changes that can help with abnormal uterine bleeding?

Maintaining a healthy weight, regular exercise, managing stress levels, and a balanced diet can contribute to managing abnormal uterine bleeding. However, individual cases may vary, and consulting a healthcare professional is important.

Can abnormal uterine bleeding affect fertility?

Depending on the cause, abnormal uterine bleeding may affect fertility. Conditions such as polyps, fibroids, or hormonal imbalances can impact fertility. It's advisable to seek medical advice if you have concerns about fertility.

Is abnormal uterine bleeding a sign of menopause?

Yes, abnormal uterine bleeding can be a sign of perimenopause or menopause. Irregular periods and abnormal bleeding can occur during this transition. However, it's important to have any irregular bleeding evaluated by a healthcare professional.

What diagnostic tests are used to determine the cause of abnormal uterine bleeding?

Diagnostic tests may include a pelvic exam, ultrasound, hysteroscopy, endometrial biopsy, or blood tests to assess hormone levels. The choice of tests will depend on the individual's symptoms and medical history.

Can stress or anxiety cause abnormal uterine bleeding?

Stress or anxiety can contribute to hormonal imbalances that may affect the menstrual cycle, potentially leading to abnormal uterine bleeding in some cases. However, it's essential to rule out other underlying causes through medical evaluation.

Can abnormal uterine bleeding be a symptom of cancer?

In some cases, abnormal uterine bleeding can be a symptom of endometrial cancer. It's important to consult a healthcare professional if there are concerns about abnormal bleeding, especially after menopause.

What is the difference between abnormal and normal uterine bleeding?

Normal uterine bleeding refers to regular menstruation, with a consistent pattern and duration. Abnormal uterine bleeding encompasses any bleeding outside of the normal menstrual cycle, including heavy or prolonged bleeding, intermenstrual bleeding, or bleeding after menopause.

What should I discuss with my healthcare provider regarding abnormal uterine bleeding?

When consulting a healthcare provider about abnormal uterine bleeding, it's important to discuss the frequency, duration, and intensity of bleeding, any potential triggers, associated symptoms, and any relevant medical history or medications.

Can I use over-the-counter pain relief for abnormal uterine bleeding?

Over-the-counter pain relief, such as ibuprofen or paracetamol, can help manage discomfort associated with abnormal uterine bleeding. However, it's crucial to seek medical advice to address the underlying cause of the bleeding.

Can abnormal uterine bleeding indicate pregnancy?

Abnormal uterine bleeding, especially if it occurs around the time of an expected period, can indicate pregnancy. However, it's important to take a pregnancy test and consult a healthcare professional for confirmation.

Are there natural remedies for managing abnormal uterine bleeding?

Some people find relief from abnormal uterine bleeding symptoms with natural remedies such as herbal supplements, acupuncture, or dietary changes. However, it's essential to consult a healthcare professional before using alternative treatments.

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Information provided by Maryam Abdullahi-Mahdi. Reviewed by Mr. Matthew Liew