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Abnormal Uterine Bleeding
Abnormal Uterine Bleeding Care at Maria Regina OB/GYN
Changes in your menstrual cycle can be concerning—especially when bleeding becomes unusually heavy, irregular, or occurs between periods. While abnormal uterine bleeding is common, it should never be ignored. At Maria Regina OB/GYN, our experienced providers take a comprehensive approach to diagnosing and treating menstrual irregularities. With a thorough evaluation and personalized treatment plan, most causes of abnormal bleeding can be effectively managed.
What is abnormal uterine bleeding?
"Abnormal uterine bleeding" refers to any bleeding pattern that falls outside the expected range of your menstrual cycle. Because every woman’s cycle is unique, your provider evaluates bleeding based on your individual symptoms and patterns—but there are general guidelines that help determine what is typical.
Your provider will assess:
- Cycle frequency: A normal cycle generally ranges from 21 to 35 days. Significant fluctuations or cycles that consistently fall outside this range may indicate a hormonal imbalance or other condition.
- Duration of bleeding: Most periods last 4–5 days. Bleeding that lasts fewer than 2 days or continues for longer than 7 days warrants evaluation.
- Amount of bleeding: On average, women lose about 2 tablespoons of blood during a period. Losing more than 5 tablespoons may indicate heavy menstrual bleeding. Noting how often you soak through pads or tampons can help your provider estimate blood loss accurately.
Keeping a record of your cycles—including timing, flow, and symptoms—can greatly assist in diagnosing the issue.
What causes abnormal uterine bleeding?
Abnormal bleeding can result from several different factors. Many causes are related to disruptions in the balance of estrogen and progesterone, the hormones that regulate ovulation and menstruation. Hormonal fluctuations are especially common during puberty and perimenopause.
Possible causes include:
- Hormonal birth control methods (pills, implants, IUDs)
- Rapid or significant weight changes
- Chronic stress
- Uterine fibroids or polyps
- Adenomyosis
Less common but more serious causes include:
- Bleeding disorders
- Anticoagulant medications
- Cervical, uterine, or endometrial cancer
- Endometrial or cervical infections
- Thyroid, adrenal, liver, or kidney disease
Important: Abnormal bleeding during pregnancy or after menopause should be evaluated immediately. These situations can indicate urgent medical concerns.
How is abnormal uterine bleeding treated?
Treatment depends on identifying the underlying cause. At Maria Regina OB/GYN, we tailor your care based on your symptoms, medical history, reproductive goals, and diagnostic findings. Treatment options may include:
- Hormone therapy to regulate menstrual cycles
- Progestin-releasing IUD to reduce heavy bleeding
- Tranexamic acid to promote blood clotting and reduce flow
- Gonadotropin-releasing hormone (GnRH) agonists to temporarily stop hormone production
- Pelvic ultrasound or hysteroscopy to evaluate structural abnormalities
- Endometrial ablation to remove or thin the uterine lining
- Myomectomy or uterine artery embolization for fibroids
- Hysterectomy in severe cases where other treatments are not effective or appropriate
Your provider will walk you through each option, addressing your concerns and helping you select the best course of treatment.
If you’re concerned about irregular or heavy periods, or if abnormal bleeding is affecting your daily life, contact Maria Regina OB/GYN. You can schedule an appointment online or call our office to discuss your symptoms and begin a personalized treatment plan. We’re here to help you find clarity and relief.