Abnormal Uterine Bleeding (AUB) Treatment
Understanding Abnormal Uterine Bleeding
Abnormal Uterine Bleeding (AUB) refers to any bleeding from the uterus that is different from a normal menstrual cycle. This may include heavy menstrual bleeding, prolonged periods, bleeding between periods, irregular cycles, bleeding after menopause, or bleeding after sexual intercourse. While hormonal changes are a common cause, AUB can also be associated with conditions such as fibroids, polyps, adenomyosis, PCOS, thyroid disorders, pregnancy-related complications, or, in some cases, precancerous or cancerous changes. Early evaluation is essential to identify the underlying cause and provide appropriate treatment.
Common Symptoms
- Heavy menstrual bleeding
- Periods lasting longer than 7 days
- Bleeding between menstrual cycles
- Irregular or unpredictable periods
- Bleeding after menopause
- Bleeding after sexual intercourse
- Severe menstrual cramps
- Fatigue, weakness, or dizziness due to anemia
Causes of Abnormal Uterine Bleeding
Abnormal uterine bleeding may occur due to several medical conditions, including:
- Hormonal imbalance
- Polycystic Ovary Syndrome (PCOS)
- Uterine fibroids
- Endometrial or cervical polyps
- Adenomyosis
- Thyroid disorders
- Pregnancy-related complications
- Perimenopause and menopause
- Certain medications or blood-clotting disorders
- Endometrial hyperplasia or uterine cancer
Diagnosis
A detailed evaluation helps determine the exact cause of abnormal bleeding. Your gynecologist may recommend:
- Detailed medical history and physical examination
- Pelvic examination
- Ultrasound scan
- Blood tests
- Hormonal evaluation
- Pap smear (when indicated)
- Endometrial biopsy (if required)
- Hysteroscopy for direct visualization of the uterine cavity
Treatment Options
Treatment is personalized based on your age, symptoms, future pregnancy plans, and the underlying cause.
Medical Management
- Hormonal medications
- Oral contraceptive pills
- Progesterone therapy
- Non-hormonal medications to reduce heavy bleeding
- Iron supplements for anemia
- Treatment for thyroid or hormonal disorders
Minimally Invasive Procedures
If medications are not sufficient, advanced procedures may be recommended, including:
- Hysteroscopy for removal of polyps or small fibroids
- Endometrial biopsy for diagnosis
- Polypectomy
- Myomectomy (fibroid removal)
- Endometrial ablation (selected patients)
Surgical Treatment
In complex cases where conservative treatment is ineffective, surgical management may be advised.
Why Early Treatment Matters
Ignoring abnormal uterine bleeding can lead to:
- Iron-deficiency anemia
- Chronic fatigue
- Reduced quality of life
- Fertility complications
- Delayed diagnosis of serious conditions
Early diagnosis allows timely treatment and helps prevent complications.
Why Choose Dr. Gunjan Giri Women’s Care Clinic?
- Personalized diagnosis and treatment
- Comprehensive gynecological evaluation
- Advanced ultrasound and diagnostic support
- Modern medical and minimally invasive treatment options
- Compassionate, patient-centered care
- Focus on preserving reproductive health whenever possible
Book Your Consultation
If you are experiencing heavy periods, irregular bleeding, bleeding after menopause, or prolonged menstrual bleeding, do not ignore the symptoms. At Dr. Gunjan Giri Women’s Care Clinic, we provide expert evaluation and personalized treatment plans to identify the cause and help you regain your health, comfort, and confidence with safe, evidence-based gynecological care.