Uterine Bleeding

Uterine bleeding, or Abnormal Uterine Bleeding, is an abnormal condition involving heavy or unusual bleeding from the uterus through the vagina. It can occur at any time, during or in-between periods.

Some of the common causes of uterine bleeding are pregnancy, fibroids, an infection or cancer of the cervix, hormone changes, and menopause. You may have abnormal uterine bleeding if you experience one or more of these symptoms:

• Periods lasting longer than seven days (Periods normally last 4 to 6 days)

• Heavy periods (or heavy menstrual bleeding or menorrhagia) is where the flow is unusually heavy, with clots, and soaks through the pad

• The period occurs more often than every 21 days, or farther apart than 35 days (also known as oligomenorrhea). A normal menstrual cycle is  21 to 35 days for adults and 21 to 45 days for teenagers

• Irregular periods or absence altogether (or amenorrhoea) when you are not pregnant, breastfeeding or experiencing menopause. 

Other symptoms are tenderness of the breasts, bloating, pain or pressure in the pelvic region, dizziness, low blood pressure, pale skin, and increased heart rate. 

To diagnose the condition, Dr Cilly will ask about your age, medical history, and pregnancy status. After that, a series of tests may be required to ascertain the underlying causes. The tests may include an ultrasound, blood test, endometrial biopsy, pelvic examination, urine test, and hysteroscopy to check the condition of the uterus.

After diagnosis, Dr Cilly will recommend treatment methods depending on the cause of the bleeding, the age of the patient, and the patient's future choices, such as whether the patient would want to get pregnant in the future.   

After consultation with Dr Cilly, the patient may opt for medication, birth and hormone control pills, or surgery as treatment.