GynecologyAbnormal Bleeding

Bleeding between periods? Irregular flow?

When bleeding is unusually heavy or happens inconsistently, it can take a toll on a woman’s emotions, body, and social life. The good news is that once the underlying cause is diagnosed, treatment options are available to help resolve this issue. If abnormal bleeding is causing you discomfort or preventing you from going to work or social events, talk with your healthcare provider to discuss treatment options that can help you get your life back.

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How do I know if my bleeding is considered abnormal?

Normal menstruation occurs every 21 to 35 days, and bleeding typically lasts between 2 and 7 days. If bleeding occurs more frequently, lasts longer than described, or is excessively heavy, make an appointment with your gynecologist. She or he will order laboratory tests and/or conduct a pelvic ultrasound and endometrial biopsy to evaluate your condition and discuss in-office or outpatient options that are available for your individual circumstances.

Treatment methods for abnormal bleeding include:

Hormone Replacement Therapy

When your estrogen levels decrease, your body can react by producing night sweats, vaginal dryness, irregular periods, hot flashes, and a host of other symptoms. Your doctor may recommend replacing the hormones through a daily tablet, a patch or gel, or as an implant injected beneath the skin.

Levonorgestrel intrauterine device

This is an IUD that steadily releases hormones into your body. It is placed in your uterus by your healthcare provider and is used to prevent pregnancy for up to five years and to treat heavy bleeding.

Dilation and Curettage (“D&C”)

During this procedure, your provider will expand the cervix and surgically remove part of the lining of the uterus by scraping and scooping. The tissue will be examined to help diagnose the cause of the abnormal bleeding.

Endometrial Ablation

An endometrial ablation is a surgical procedure used to remove or destroy the lining of the uterus in women who have heavy menstrual bleeding. The procedure itself takes only five minutes.