Abnormal uterine bleeding (AUB) is a common problem experienced by women of childbearing age. It can be defined as any bleeding from the uterus that occurs at an abnormal time in the menstrual cycle or that is excessive in amount. AUB can be a sign of an underlying medical condition, such as a hormonal imbalance or uterine fibroids. Treatment for AUB will depend on the underlying cause.

If you are experiencing abnormal uterine bleeding, it is important to see your healthcare provider to determine the cause. In some cases, AUB may be a sign of a serious medical condition, such as cancer. Therefore, it is important to have any unusual bleeding evaluated by a healthcare provider.

There are many possible causes of abnormal uterine bleeding. Some common causes include hormonal imbalances, uterine fibroids, polycystic ovary syndrome (PCOS), endometriosis, and pregnancy. Less common causes include thyroid disorders, blood clotting disorders, and certain medications. In some cases, the cause of AUB may be unknown.

Hormonal imbalances are one of the most common causes of AUB. Many women experience hormonal imbalances during their childbearing years, which can cause irregular bleeding. Hormonal imbalances can also be caused by certain medical conditions, such as PCOS or thyroid disorders.

Causes

Causes of AUB can also include uterine fibroids. Fibroids are non-cancerous growths that develop in the uterus. They are common, and most women will have them at some point in their lives. However, they can cause heavy bleeding and other symptoms.

Endometriosis is another possible cause of AUB. Endometriosis is a condition in which the tissue that lines the uterus grows outside of the uterus. This can cause pain, heavy bleeding, and other symptoms.

Pregnancy is another common cause of AUB. Many women experience spotting or light bleeding during early pregnancy. This is called implantation bleeding and is caused by the fertilized egg attaching to the lining of the uterus. Bleeding during pregnancy can also be a sign of miscarriage.

Risk Factors

Some women are at increased risk for developing AUB. Risk factors include:

  • being of childbearing age
  • having a family history of AUB
  • having certain medical conditions, such as PCOS or thyroid disorders
  • taking certain medications, such as blood thinners or hormonal birth control

If you are experiencing abnormal uterine bleeding, it is important to see your healthcare provider to determine the cause. In some cases, AUB may be a sign of a serious medical condition, such as cancer. Therefore, it is important to have any unusual bleeding evaluated by a healthcare provider.

Diagnosis

Your healthcare provider will take a medical history and perform a physical exam. They may also order blood tests and imaging tests, such as an ultrasound. These tests can help to determine the cause of your abnormal bleeding.

Treatment

Treatment for AUB will depend on the underlying cause. In some cases, no treatment is necessary. For example, if AUB is caused by a hormonal imbalance, it may go away on its own. If AUB is caused by a more serious condition, such as cancer, treatment will be necessary. Treatment options include medication, surgery, and radiation therapy.

Drug Therapy

Drug therapy is a common treatment option for AUB. Medications can be used to treat hormonal imbalances, uterine fibroids, endometriosis, and other conditions that can cause AUB.

Hormonal Therapy

Hormonal therapy is often used to treat AUB. This type of therapy can help to regulate the hormones that are responsible for your menstrual cycle. This can help to reduce or stop abnormal bleeding. Hormonal therapy options include birth control pills, patches, rings, and shots.

Surgery

Surgery is sometimes necessary to treat AUB. Surgery can be used to remove uterine fibroids, polyps, or other growths. In some cases, a hysterectomy (surgery to remove the uterus) may be necessary.

Radiation Therapy

Radiation therapy is sometimes used to treat AUB. This type of therapy uses high-energy waves to kill cancer cells. It can be used to treat uterine cancer or endometrial cancer.

Prevention

However, there are things that you can do to lower your risk. These include:

  • getting regular check-ups
  • managing your weight
  • eating a healthy diet
  • exercising regularly
  • avoiding tobacco use
  • using contraception to prevent pregnancy

There are no specific measures that can be taken to prevent AUB. If you have a family history of AUB, you may be at increased risk. If you are at increased risk for AUB, it is important to see your healthcare provider regularly so that any potential problems can be detected and treated early.

Alternative Medicines

There is no evidence that alternative medicines are effective in treating AUB. If you are considering using an alternative treatment, talk to your healthcare provider first.

When to see a doctor

See your healthcare provider if you are experiencing abnormal uterine bleeding. This is especially important if you are over the age of 40 or have other risk factors for AUB. AUB can be a sign of a serious medical condition, such as cancer. Therefore, it is important to have any unusual bleeding evaluated by a healthcare provider.

Prognosis

The prognosis for AUB depends on the underlying cause. In many cases, AUB is not a serious condition and will go away on its own. However, in some cases, AUB can be a sign of a more serious condition, such as cancer. Therefore, it is important to see your healthcare provider so that any potential problems can be detected and treated early.