Uterine Bleeding

Uterine bleeding refers to abnormal or irregular bleeding from the uterus. It can manifest as heavy or prolonged menstrual bleeding, bleeding between menstrual cycles, or bleeding after menopause. Uterine bleeding can have various causes, and it is important to identify the underlying reason for proper diagnosis and treatment. Here are some key points to consider:

  1. Dysfunctional Uterine Bleeding (DUB): Dysfunctional uterine bleeding is a common cause of abnormal uterine bleeding. It occurs due to hormonal imbalances that disrupt the normal menstrual cycle. DUB can result in heavy or prolonged menstrual bleeding or irregular bleeding between periods.
  2. Uterine Fibroids: Uterine fibroids are noncancerous growths that develop within the muscular wall of the uterus. They can cause heavy or prolonged menstrual bleeding, as well as pelvic pain or pressure.
  3. Polyps: Uterine polyps are small, benign growths that develop in the lining of the uterus. They can lead to irregular or heavy menstrual bleeding and may cause bleeding after sexual intercourse.
  4. Endometrial Hyperplasia: Endometrial hyperplasia refers to the excessive growth of the uterine lining (endometrium). It can cause irregular or heavy menstrual bleeding and may increase the risk of developing endometrial cancer.
  5. Endometriosis: Endometriosis is a condition in which the tissue that normally lines the uterus grows outside the uterus, commonly on the ovaries, fallopian tubes, or other pelvic organs. It can cause heavy or painful periods, as well as bleeding between periods.
  6. Adenomyosis: Adenomyosis occurs when the tissue lining the uterus grows into the muscular wall of the uterus. It can lead to heavy or prolonged menstrual bleeding, as well as pelvic pain.
  7. Polycystic Ovary Syndrome (PCOS): PCOS is a hormonal disorder characterized by the presence of multiple small cysts on the ovaries. It can cause hormonal imbalances, irregular menstrual cycles, and heavy or prolonged bleeding.
  8. Medications and Medical Conditions: Certain medications, such as blood thinners or hormone medications, can contribute to uterine bleeding. Additionally, medical conditions like thyroid disorders or bleeding disorders may be associated with abnormal uterine bleeding.
  9. Uterine Cancer: In some cases, abnormal uterine bleeding may be a sign of uterine cancer. Postmenopausal bleeding, in particular, should always be evaluated by a healthcare professional to rule out cancer.

When experiencing uterine bleeding, it is important to consult a healthcare professional for a proper evaluation. Diagnostic tests such as pelvic examinations, ultrasound, or endometrial biopsy may be performed to determine the cause. Treatment options depend on the underlying cause and may include hormonal medications, non-hormonal medications, minimally invasive procedures, or surgery.

If uterine bleeding is severe, accompanied by severe pain, or results in symptoms like dizziness or lightheadedness, immediate medical attention should be sought, as it may indicate a medical emergency.

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