ABNORMAL UTERINE BLEEDING (AUB)


When your bleeding continues beyond your normal monthly cycle or your flow is heavier than what’s typical, it is called Abnormal uterine bleeding (AUB).

If it’s heavy or unpredictable enough to disrupt your daily routine you may require treatment.

It may be caused due to hormonal changes. These changes could be specific to your physiology or may be due to extraneous factors like Birth control pills, or rapid weight gain or loss, emotional or physical stress. Underlying medical conditions like  Polycystic Ovarian Syndrome (PCOS) also could be a reason.

Uterine problems – Physical problems within the uterus could be another common cause. These include Fibroids, Polyps, adenomyosis, and Endometriosis.

Other pathologies, although less common, maybe the cause.  Bleeding or clotting disorders, cancer of the cervix, endometrium, or uterus, Illnesses that affect your kidneys, liver, thyroid, or adrenal glands, Infection of your cervix or endometrium, and Sexually transmitted diseases may also be the cause of the AUB and need to be ruled out.



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Investigations for diagnosis may include a pregnancy test, for starters, followed by a complete Hemogram, Sonography, Hysteroscopy with biopsy. Occasionally an MRI may be prescribed to rule out or confirm adenomyosis.

Your treatment will depend on the cause and whether you have completed your family or not.

Drugs are the first line of treatment. These may include Hormones, Gonadotropin-releasing hormone agonists (GnRHa), NSAIDS,  anti-inflammatories like ibuprofen or naproxen.  To control heavy uterine bleeding you may be prescribed Tranexamic acid tablets.

Implants

IUD – Progestin releasing IUDs can stop heavy bleeding.

Surgical intervention – Options include Endometrial ablation, Myomectomy, uterine artery embolization, or Hysterectomy as a last resort when other treatments haven’t worked.

We specialize in Uterus preserving treatments and Laparoscopic interventions which minimize hospital stay to 1 day and leave barely any scars.

Abnormal uterine bleeding, if not controlled will certainly cause Anemia. It may also affect your ability to conceive and put you at a higher risk of endometrial cancer.


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