A menstruating woman bleeds for one period of 3-5 days every 21-35 days. When bleeding occurs more often than normal, is heavier than normal, or lasts more than one week, it may be abnormal. Also, if a woman experiences bleeding after menopause, bleeding after sex, or spotting between periods, this may be abnormal as well. Any patient experiencing abnormal bleeding should contact The Women’s Group for evaluation as soon as possible.
Abnormal bleeding can have many different causes, including fibroid tumors, endometriosis, hormonal imbalances, pregnancy, or miscarriage. In other cases, abnormal bleeding occurs because of endometrial hyperplasia, which causes the uterine lining to thicken.
When a patient comes in with abnormal bleeding, our team at The Women’s Group recommends different tests designed to determine the cause of bleeding, including blood tests, ultrasound, hysteroscopy, and endometrial biopsy. In some cases, only one test may be required. However, many women need more than one test to identify the cause of abnormal bleeding.
The Women’s Group determines the best treatment for abnormal bleeding based on the bleeding’s cause. For example, if the bleeding relates to hormonal imbalances, our team recommends hormone therapy or hormonal birth control. Likewise, if the bleeding relates to fibroid tumors, our team treats the tumors to resolve the bleeding. Some types of bleeding may also necessitate a surgical procedure known as endometrial ablation.
Endometrial ablation, a procedure that destroys part of the uterine lining, helps slow or stop bleeding. The Women’s Group may recommend this procedure for women who experience heavy and/or prolonged bleeding. After the procedure, bleeding may return, but shouldn’t be as heavy as prior to the procedure.
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