Abnormal Uterine Bleeding (AUB)

Abnormal Uterine Bleeding (AUB) can be a distressing experience. It refers to any change in the normal pattern of menstrual bleeding, which can include heavier or lighter bleeding than usual, bleeding between periods, or irregular cycles.

We understand that experiencing AUB can be both physically and emotionally challenging. Our goal is to provide you with compassionate and holistic care to help you understand what’s happening with your body and find the best solutions for your individual needs.

You may experience AUB at any age, but it’s more common during puberty and perimenopause (the time leading up to menopause). 

Symptoms of Abnormal Uterine Bleeding 

Symptoms of AUB can vary depending on the underlying cause. Some common symptoms include:

• Heavy menstrual bleeding: Soaking through more than one pad or tampon per hour.  
  
   
• Prolonged bleeding: Menstrual periods lasting longer than 7 days.   
  
   
• Bleeding between periods: Spotting or breakthrough bleeding between periods.
  
   
• Irregular periods: Periods that occur more or less frequently than every 21-35 days.
  
   
• Painful periods: Cramps or pelvic pain during menstruation.
  
   
• Fatigue and Anemia: Due to blood loss.

Causes of Abnormal Uterine Bleeding

AUB can have various causes, including:

• Hormonal imbalances: Changes in hormone levels, such as estrogen and progesterone, can disrupt the menstrual cycle. 
  
   
• Uterine fibroids: Noncancerous growths in the uterus.
  
   
• Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus.
  
   

   
• Polyps: Small, benign growths in the lining of the uterus.
  
   
• Pelvic inflammatory disease (PID): An infection of the female reproductive organs.
  
   
• Cancer: In rare cases, AUB can be a symptom of uterine or cervical cancer.
• Medications and IUDs: Certain medications, such as anticoagulants and intrauterine devices (IUDs), can cause AUB.
  
   
• Pregnancy-related conditions: Miscarriage, ectopic pregnancy.

Treatment of Abnormal Uterine Bleeding

Treatment for AUB depends on the underlying cause and the severity of symptoms. Some treatment options that may be recommended by Dr. Basu include:

• Hormonal therapy: Combined oral contraceptive pills, progestin therapy, IUDs or hormone replacement therapy can help regulate syptoms and reduce bleeding.
  
   
• Non hormonal medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) and other forms of pain killers can help relieve pain and may reduce heavy bleeding. 
  
   
• Surgery:
  • In some cases, surgery may be necessary to remove fibroids, polyps, or assess other underlying conditions.
  • Procedures such as an endometrial ablation may also be a suitable option for patients who experience heavy menstrual bleeding.  
  • In some cases, when other treatments have failed and fertility is no longer desired, hysterectomy (removal of the uterus) may be considered.
    
     
• Lifestyle changes: Maintaining a healthy lifestyle can also help manage AUB.

About Dr. Basu’s Approach

Dr. Basu offers comprehensive evaluations and personalised treatment plans to address your unique needs and improve your quality of life.

If you have concerns around your periods, a gynaecologist can provide you with expert guidance.

Schedule a consultation to discuss your concerns with Dr. Basu now.