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Abnormal Bleeding

It is common for women to experience abnormal bleeding at some point during their life. Abnormal bleeding is defined as:

  • Bleeding between periods
  • Bleeding that is heavier than normal or lasts longer than usual
  • Bleeding after intercourse
  • Bleeding after menopause

Any abnormal bleeding should be evaluated promptly. The causes are usually benign and easily treatable. Hormonal imbalance, uterine fibroids, uterine polyps, pelvic or vaginal infections and, rarely, pre-cancerous or cancerous cells can cause abnormal bleeding. Diagnosis may involve lab work, ultrasound, or endometrial biopsy. Medical treatment might include non-steroidal anti-inflammatories (e.g. ibuprofen), oral contraceptive pills, or the hormonal IUD (e.g. Mirena). You may need surgery if medical treatment is unsuccessful. Surgical treatment options include hysteroscopy with polypectomy or myomectomy, endometrial ablation, and hysterectomy. Many of these procedures can be performed in our office.