Abnormal Bleeding

What is abnormal bleeding?

Every woman’s menstrual cycle is a bit different, but to understand abnormal bleeding, it helps to talk about what is considered a “normal” period. For most women, periods occur every 24-38 days and last as long as eight days. A degree of cramping and bloating is common. 

Abnormal bleeding is menstrual bleeding that is far heavier than what you normally experience or periods that last longer than seven days. Unusually severe cramping can also accompany abnormal bleeding. 

Bleeding between periods and bleeding during or after sex is also cause for concern, although occasional light spotting is usually nothing to worry about. Any bleeding after menopause should also prompt you to call the office. 

What could be causing my abnormal bleeding?

There are numerous things that could cause abnormal bleeding. Your provider performs a thorough diagnostic exam to check for areas of concern and find answers. Some of the possible causes include:

• Miscarriage
• Uterine fibroids or polyps
• Endometriosis
• Ectopic pregnancy
• Bleeding disorders
• Side effects from certain forms of birth control
• Certain types of gynecologic cancer

If you notice significant changes in your menstrual cycle or experience unusual vaginal bleeding between periods, call to schedule a diagnostic exam. 

How is abnormal bleeding diagnosed?

Your Providence Women's Healthcare provider begins by asking about the changes you are noticing and gathers information about any other symptoms. They then perform a pelvic exam to look for signs of tissue abnormalities.

From that point, additional screening may be needed to learn more about how your reproductive organs are functioning. You might receive an ultrasound, endometrial biopsy, or digital imaging like an MRI or CT scan. Blood work can also provide insight and can determine if you are anemic. 

A procedure called hysteroscopy is a great way to determine the cause of abnormal bleeding. This simple procedure uses a thin scope equipped with a light to gather images of your vagina, cervix, and the interior portion of your uterus. Because there are so many potential causes for abnormal bleeding, it’s important to come in for an exam as soon as possible. 

There are treatments that can address the root cause of your bleeding and manage your menstrual flow. Some women respond well to hormonal birth control options, while others choose endometrial ablation to stop abnormal bleeding. Minimally invasive surgery is also an effective treatment path in certain cases.   

To get started, call Providence Women's Healthcare or request an appointment online today.