ABNORMAL UTERINE BLEEDING (AUB)
Abnormal uterine bleeding occurs when you’re bleeding lasts longer than your regular monthly cycle or when your flow is thicker than usual (AUB).
It may be necessary to seek therapy if the pain is severe or unexpected enough to impair your daily routine.
Hormonal changes might be too responsible. These changes might be caused by your own physiology or by external causes such as birth control medications, fast weight gain or reduction, or mental or physical stress. Medical problems such as Polycystic Ovarian Syndrome (PCOS) might possibly be too responsible.
Physical Problems with the Uterus:
Another typical cause is uterine difficulties. Fibroids, polyps, adenomyosis, and endometriosis are examples.
Other disorders, albeit less prevalent, might be the source of the problem. AUB can also be caused by bleeding or clotting problems, cancer of the cervix, endometrium, or uterus, illnesses affecting your kidneys, liver, thyroid, or adrenal glands, infection of the cervix or endometrial and sexually transmitted infections.
A pregnancy test may be the first step in the diagnosing process, followed by a thorough Hemogram, Sonography, and Hysteroscopy with biopsy. An MRI may be ordered to rule out or confirm adenomyosis in some cases.
Your therapy will be determined by the reason and whether or not you have finished your family.
The first line of therapy is drugs. Hormones, Gonadotropin-releasing hormone agonists (GnRHa), NSAIDS, and anti-inflammatories such as ibuprofen or naproxen are examples. Tranexamic acid pills may be administered to treat excessive uterine bleeding.
Implants:
- IUD – IUDs that release progesterone can help to halt severe bleeding.
- Surgical Intervention – Endometrial ablation, myomectomy, uterine artery embolization, or hysterectomy are surgical options that might be used as a last resort if previous therapies have failed.
We specialise in uterus preservation therapies and laparoscopic operations that need only one day in the hospital and leave little scarring.
If uncontrolled, abnormal uterine bleeding will almost surely result in anaemia. It may also make it difficult to conceive and increase your risk of endometrial cancer.