What is Abnormal Uterine Bleeding and How Is It Treated?
Abnormal uterine bleeding (AUB) is one of the most common reasons women visit a gynecologist. Whether it’s heavy, prolonged, or unpredictable bleeding, AUB can disrupt daily life and may indicate underlying health issues. At Pi Health Hospital, we specialize in identifying the root causes and offering effective, individualized treatments.
Understanding Abnormal Uterine Bleeding (AUB)
Abnormal uterine bleeding refers to any bleeding from the uterus that is different from your normal menstrual cycle. It may include:
- Bleeding between periods
- Very heavy periods (menorrhagia)
- Periods lasting longer than 7 days
- Irregular periods
- Bleeding after sex or after menopause
Common Causes of AUB
AUB can be caused by a wide variety of conditions. Some are benign and easily treated, while others require closer medical attention.
1. Hormonal Imbalances
- Polycystic Ovary Syndrome (PCOS)
- Thyroid dysfunction
- Perimenopause or menopause
2. Structural Problems
- Uterine fibroids
- Polyps
- Endometriosis
- Adenomyosis
3. Medications & Lifestyle
- Birth control pills or IUDs
- Blood thinners
- Stress, weight changes, or extreme exercise
4. Other Medical Conditions
- Bleeding disorders
- Infections
- Certain cancers (e.g., endometrial or cervical)
Diagnosing Abnormal Uterine Bleeding
At Pi Health Hospital, our women’s health specialists use a thorough diagnostic process, which may include:
- Medical History & Symptom Review
- Physical and Pelvic Exam
- Blood Tests (to check hormone levels, thyroid function, and clotting disorders)
- Pelvic Ultrasound (to detect fibroids or other abnormalities)
- Endometrial Biopsy (to rule out cancer or precancerous changes)
- Pap Smear (to check cervical health)
Treatment Options for AUB
The right treatment depends on the cause, your age, fertility goals, and overall health. At Pi Health Hospital, we provide both medical and surgical options:
1. Medications
- Hormonal treatments (oral contraceptives, progestins)
- Non-hormonal drugs (NSAIDs, tranexamic acid)
- Thyroid medications (if hormonal imbalance is due to thyroid issues)
2. Minimally Invasive Procedures
- Hysteroscopy (to remove polyps or fibroids)
- Endometrial ablation (to destroy the uterine lining and reduce bleeding)
3. Surgical Treatments
- Myomectomy (removal of fibroids)
- Hysterectomy (removal of the uterus, considered in severe or non-responsive cases)
When Should You See a Doctor?
You should consult a gynecologist if you experience:
- Bleeding between periods or after sex
- Periods lasting longer than 7 days
- Soaking through pads or tampons every hour
- Fatigue or dizziness due to heavy bleeding
- Bleeding after menopause
Early diagnosis can prevent complications such as anemia, infertility, or even cancer in rare cases.
Why Choose Pi Health Hospital?
At Pi Health Hospital, we offer:
- Advanced diagnostic tools
- Personalized treatment plans
- Compassionate, expert gynaecological care
- A focus on minimally invasive and fertility-preserving treatments
Your health and comfort are our top priorities.
About Author
Dr. Sarada Kaki
MBBS, MD – Obstetrics & Gynaecology, DGO, MRCOG (UK)
Dr. Sarada Kaki is a highly experienced Gynecologist and Obstetrician, currently practicing at PI Health Cancer Hospital, Gachibowli, Hyderabad. With over 40 years of expertise, she offers comprehensive care in obstetrics and gynecology.She completed her MBBS from Nagarjuna University in 1984 and earned her MD in Obstetrics & Gynaecology from Andhra University in 1987.Dr. Sarada provides a range of specialized services including Pre and Post Delivery Care, Embryo Donor Programs, Pap Smear tests, Lamaze Classes, and Medical Termination of Pregnancy (MTP), ensuring personalized and compassionate care for women at all stages.He is dedicated to offering personalized treatment plans that are tailored to each patient’s unique needs, ensuring optimal outcomes and quality of life.