Abnormal Uterine Bleeding at OBGYN Clinic Near Me in Chicago, IL
What Is Abnormal Uterine Bleeding? Find Out More About Causes and Treatments. We Are Conveniently Located at 820 W Jackson Blvd #310 Chicago, Il 60607. Make an Appointment Online or Call Us at (312) 651-6886!
What is an abnormal menstrual cycle or menses?
Like everything else in life, “normal” encompasses a great many variations for different women and genetics. Normal is what has been normal for you since the start of your menses post puberty . Having said that, normal bleeding is bleeding that occurs at intervals no closer than 21 days, and no further apart than 35-40 days. Normal bleeding should not result in low blood counts or anemia and should last between two and seven days requiring a pad or tampon to be changed no more than every three to four hours. If there is a deviation from your normal bleeding pattern, particularly if persistent, there may be a problem that is worthy of evaluation.
ABNORMAL UTERINE BLEEDING
The most common cause of abnormal bleeding is anovulation. This means what is sounds like—you may be experiencing an absence of ovulation. During normal menstruation, women make estrogen, release an egg from an ovarian follicle, make progesterone, and then get their period. Women who don’t ovulate do make estrogen; they just don’t release an egg. The lining of the uterus gets stimulated with estrogen alone and essentially bleeds at random times. Sometimes the bleeding can be quite heavy or prolonged. It is usually totally unpredictable and women rarely have the premenstrual prodrome of breast tenderness, PMS and cramping that typically occurs in ovulatory cycles.
A variety of reasons contribute to not ovulating. Anovulatory cycles are more common in women who are under stress, dieting, traveling, or have other medical problems such as thyroid dysfunction. It can also be age dependent—as women are approaching menopause or as girls are starting their periods.
Many times we can treat without biopsy but there are times we would have to do further evaluation and biopsy. For women who are approaching menopause, these irregular cycles are usually due to anovulation. However, there are other reasons that women experience abnormal bleeding and often times we need to perform an endometrial biopsy and ultrasound to see if there are other reasons, such as pre-cancerous cells or fibroids or polyps.
If you are already in menopause and experience bleeding, then this is always abnormal and must be evaluated. Although ninety percent of postmenopausal bleeding is not due to cancer, it is imperative that it is evaluated regardless. Dr Rahman can perform these procedures at the time of consultation in the office.
There are a number of other causes of abnormal uterine bleeding that can be accounted for by benign growths of the uterus or cervix like polyps or fibroids as well as a variety of other factors that can be evaluated through exam and potentially pelvic ultrasound.
Treatment Modalities for Abnormal Uterine Bleeding vary from very conservative treatments such as hormones, IUD, hysteroscopy D+C, ablation or more invasive methods.