Abnormal uterine bleeding!

12 May

Abnormal uterine bleeding!

Abnormal uterine bleeding is when it bleeds outside of the normal monthly period. The normal length of the menstrual cycle is routinely between 24 days and 38 days and it generally lasts for 7-8 days. Abnormal Uterine Bleeding means bleeding from the uterus that varies in frequency, regularity, duration, or amount from normal uterine bleeding during menstrual cycle. A well-trained and experienced team including gynaecologist, technicians and support staffs of Remedy Hospital, Garia is ready to provide best treatment of abnormal uterine bleeding among different age groups of women.
 
Now, the question is when should we consider it as abnormal uterine bleeding? When we notice spotting or bleeding between periods or bleeding or spotting after sex or excessive bleeding during regular periods or if menstrual cycles are longer than 38 days or shorter than 24 days or even the cycle continues after 7/8 days and any time after menopause if it bleeds; it can be considered as abnormal uterine bleeding. If it’s so heavy or unpredictable that it keeps patients from doing some regular activities like school or office, then that medical condition should be treated properly.
 
Abnormal bleeding can occur at any age but it’s basically noticed among the teenagers and women above 40 years. Periods may not occur regularly when a girl first starts having them (around age 9–14 years) and during peri-menopause (beginning in the mid-40s), the number of days between periods may change. It also is normal to skip periods or for bleeding to get lighter or heavier during peri-menopause.
 
This problem is basically for hormonal imbalance; when ovary releases an egg (called ovulation), certain hormones control the shedding of the uterus lining (called the endometrium) and among teenagers and women getting close to menopause, the endometrium can build up too thick due to hormonal problem and it leads to an irregular or heavy period or spotting between periods. Some of the causes of abnormal bleeding include the following:
 

  • Problems with ovulation
  • Fibroids and polyps
  • A condition in which the endometrium grows into the wall of the uterus
  • Bleeding disorders
  • Problems linked to some birth control methods, such as an intrauterine device (IUD) or birth control pills
  • Miscarriage
  • Ectopic pregnancy
  • Certain types of cancer, such as cancer of the uterus
 
An experienced obstetrician and gynecologist may start by checking for problems most common in your age group. Be a patient, one should keep proper tracking of health history and menstrual cycle and clearly convey the same with the medical professional. As per the severity of the disease, the doctor will do physical exam, and also ask for a few blood tests to measure total blood count, hormone levels and other diseases of the blood. Apart from that, doctors can advise for pregnancy tests and tests for sexually transmitted infections (STIs). Based on the symptoms and age of the patient, other tests may be needed. Different ways to identify the reason behind abnormal uterine bleeding are mentioned below:
 
  • Ultrasound Exam - Sound waves are used to make a picture of the pelvic organs.
  • Hysteroscopy - A thin, lighted scope is inserted through the vagina and the opening of the cervix. It allows your ob-gyn or other health care professional to see the inside of the uterus.
  • Endometrial Biopsy- A sample of the endometrium is removed and looked at under a microscope.
  • Sono-hysterography- Fluid is placed in the uterus through a thin tube while ultrasound images are made of the inside of the uterus.
  • Magnetic Resonance Imaging (MRI) - An MRI exam uses a strong magnetic field and sound waves to create images of the internal organs.
  • Computed Tomography (CT) - This X-ray procedure shows internal organs and structures in cross section.
 
Though, medications are preliminary advised to treat irregular or heavy menstrual bleeding but, when the treatment procedure fails to reduce bleeding, a surgical procedure may be needed. Depending on patient’s condition and age, an experienced gynaecologist suggests the surgery. Hence, know the best nearby hospital, where experienced gynaecologist provides best treatment on Abnormal Uterine Bleeding in Kolkata.