Abnormal Uterine Bleeding Overview

Abnormal uterine bleeding refers to any vaginal bleeding that appears to be different from normal menstrual periods. It can range from very heavy to light bleeding between periods. There are also cases where there is no bleeding or a menstrual period at all (called amenorrhea) or extremely painful periods and severe menstrual cramps (called dysmenorrhea).

These symptoms can be caused by a number of underlying conditions, including improper nutrition, stress, fibroids, or endometriosis. Sometimes cessation of bleeding is caused temporarily by a normal response to pregnancy or breastfeeding when a woman stops menstruating. Other times, the cause of the abnormal bleeding can be related to problems with a woman's hormones or reproductive organs. If you are experiencing abnormal bleeding, you should see your doctor as soon as possible. Only your doctor can determine the appropriate treatment, which may mean changes in diet or lifestyle, medication, or possibly surgery.

If surgery is recommended, it's important to know that there may be a range of procedure options available to you. For example, certain minimally invasive techniques might be appropriate for you. These typically reduce the pain and scarring after surgery and may help you recover more quickly.

Talking to your Doctor about Abnormal Uterine Bleeding Treatment

It's important for you to learn as much as possible about abnormal uterine bleeding and treatment options, and your doctor is your best resource. Here are some questions for you to get the conversation started:

• What causes abnormal uterine bleeding?
• Is this a serious problem?
• Are there other tests I might need to help determine a cause?

• How will I know if and when treatment is necessary?
• Do I need medicine or surgery?
• If I take hormones, will my condition improve?
• If I need surgery, what are my options?
• If I need a myomectomy, is there a minimally invasive option?
• If I need a hysterectomy, is there a minimally invasive option?

If you've been referred to a surgeon, it’s important to continue the conversation about your procedure. Only your surgeon can decide whether or not you’re a candidate for a minimally invasive procedure, but you should feel comfortable getting the best information.

To locate a surgeon in your area experienced in minimally invasive procedures for abnormal uterine bleeding, use our Find a Physician tool.