Abnormal Uterine Bleeding: When Is It Something to Investigate?
Many women experience changes to their menstrual cycle at some point in their lives and wonder whether what they’re experiencing is normal. Abnormal uterine bleeding (AUB) is one of the most common reasons women see a gynaecologist… and one of the most important not to ignore.
What Is Abnormal Uterine Bleeding?
AUB refers to any bleeding from the uterus that differs from your usual menstrual pattern. This includes:
- Periods that are heavier or longer than usual
- Bleeding between periods
- Bleeding after intercourse
- Bleeding after menopause
- Irregular or unpredictable cycles
What Causes It?
The causes of AUB are broad and vary by age. Common causes include uterine fibroids, endometrial polyps, hormonal imbalances, adenomyosis, thyroid disorders, and — importantly — endometrial (uterine) cancer. This is why any persistent or unexplained change in bleeding should be investigated promptly, particularly in women over 45 or after menopause.
How Is It Investigated?
Your gynaecologist will begin with a thorough history and pelvic examination. This is usually followed by a pelvic ultrasound and blood tests. In some cases, a hysteroscopy (a procedure to look directly inside the uterine cavity) may be recommended to identify or remove structural causes such as polyps.
What Are the Treatment Options?
Treatment depends entirely on the underlying cause and your individual circumstances, including whether you wish to preserve fertility. Options range from hormonal management and the Mirena intrauterine device to minimally invasive procedures or surgery.
Do not dismiss changes to your cycle as something you simply need to manage. Early assessment leads to earlier answers and better outcomes.
To make an appointment with Dr. van der Griend, call (02) 9966 5500 or visit drvandergriend.com.au.
