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Abnormal Uterine Bleeding
At New York OB/GYN Associates™ we offer the safest and most advanced gynecological services. We aim at providing optimal care and helping our patients with all of their gynecological needs. We are recognized as one of the nation's leading OB/GYN service providers with over 30 years of experience. All of our physicians are board-certified obstetrician/gynecologists with specialized training in treating Abnormal Uterine Bleeding.
Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period. Bleeding that occurs between menstrual periods or excessive menstrual bleeding is considered to be abnormal uterine bleeding. There are two main causes for Abnormal Uterine bleeding the first is blood coagulation and/or blood disorders. The second is an infection of the hypothyroid or a liver disorder.
Dysfunctional uterine bleeding (DUB) is abnormal bleeding from the Vagina that is due to changes in hormone levels. Every woman's menstrual cycle, or period, is different. On average, a woman's period occurs every 28 days. About every month, the levels of female hormones in a woman's body rise and fall. Estrogen and progesterone play an important role in ovulation, at which point the ovaries release an egg. Dysfunctional uterine bleeding (DUB) most commonly occurs when the ovaries do not release an egg. Changes in hormone levels cause your period to be later or earlier and sometimes heavier than normal.
Some of the symptoms of DUB include the following:
Other symptoms caused by changes in hormone levels may include:
- Bleeding or spotting from the vagina between periods
- Periods that occur less than 28 days apart (more common) or more than 35 days apart
- Time between periods changes each month
- Heavier bleeding (such as passing large clots, needing to change protection during the night, soaking through a sanitary pad or tampon every hour for 2 - 3 hours)
- Bleeding lasts for more days than normal or for more than 7 days
- Excessive growth of body hair in a male pattern
- Hot flashes
- Mood swings
- Tenderness and dryness of the vagina
- A woman may feel tired or have fatigue if she is loses too much blood over time. This is a symptom of anemia
Exams and Tests
At New York OB/GYN Associates™ a board certified OB/GYN will perform a pelvic examination and may perform a Pap smear. Tests that may be done include, a complete blood count (CBC), blood clotting profile or hormonal tests. We will also perform a pregnancy test, thyroid function tests, and a culture to look for infection.
Upon further evaluation your OB/GYN may recommend the following:
- Biopsy to look for infection, pre-cancer, or cancer, or to help decide on hormone treatment
- Hysteroscopy, performed in the doctor's office, to look into the uterus through the vagina
- Transvaginal ultrasound to look for problems in the uterus or pelvis
Young women within a few years of their first period are often not treated unless symptoms are very severe, such as heavy blood loss causing anemia. In other women, the goal of treatment is to control the menstrual cycle.
Treatment may include:
- Birth control pills or progesterone only pills
- Intrauterine device (IUD) that releases the hormone progestin
- Ibuprofen or naproxen taken just before the period starts
- Iron supplements for women with anemia
If you want to get pregnant, you may be given medication to stimulate ovulation.
Women with severe symptoms that do not get better with other treatments may consider the following procedures if they no longer want to have children:
- Endometrial ablation or resection to destroy or remove the lining of the uterus
- Hysterectomy to remove the uterus
Hormone therapy usually relieves symptoms. Treatment may not be needed if you do not develop anemia due to blood loss. At New York OB/GYN Associates™ we have trained staff with over 30 years of experience. They are prepared to answer all of your questions and we use the latest technology and safest methods ensuring the best possible treatment for dysfunctional uterine bleeding.