Abnormal or heavy bleeding is a very common reason for a woman to visit her gynecologist. Abnormal bleeding can have many different causes.
During your assessment your provider will want to perform a detailed medical history and physical exam. It is helpful to have a detailed or calendar history of when your bleeding has occurred (i.e., after intercourse, one week prior to your menstrual cycle).
There are many different causes of abnormal bleeding. Some are age specific. The most common causes of bleeding are uterine fibroids, polyps, side effects from contraception (including birth control pills, IUDs, Depo Provera), pregnancy/miscarriage and hormonal changes related to menopause.
You may be asked to perform blood work and have a radiologic exam such as an ultrasound to help determine the cause of your bleeding. In addition, your physician may wish to sample the lining of your uterus through an in-office biopsy. Depending on your final diagnosis, treatment plans may include observation, hormonal therapy, in office surgery or definitive treatment with a hysterectomy. To learn more, click here.