Abnormal Bleeding Specialist

When is bleeding abnormal?

During your reproductive years, a typical menstrual cycle occurs every 21-35 days, during which you may bleed about 2-7 days. However, abnormal bleeding is unlike your typical menstrual cycle and may indicate a hormonal imbalance or health issue. 

Signs of abnormal bleeding include: 

• Heavy periods
• Extremely lengthy periods
• Bleeding during or after sex
• Irregular periods
• Bleeding between periods

If you're in menopause, any form of uterine bleeding is abnormal.

What causes abnormal bleeding?

Abnormal bleeding isn't always harmful, but it can sometimes signify an underlying health issue. Potential reasons include: 

• Fibroids
• Polyps
• Endometritis
• Problem with an IUD
• Miscarriage
• Ectopic pregnancy
• Ovulation issues
• Uterine cancer

Sometimes hormonal birth control causes irregular bleeding. Dr. Harrison identifies the source of your bleeding to address a problem, if there is one, and help to get your flow back on track.

How is abnormal bleeding diagnosed?

Dr. Harrison asks you about the pattern of bleeding. It's helpful if you bring a record or information from a period-tracking app to your appointment. 

She often recommends tests to rule out possible causes of irregular bleeding. These tests can include:

• Blood count test
• Hormone level test
• STD test
• Ultrasound
• Pregnancy test

In some cases, she recommends a procedure called a hysteroscopy. During this procedure, Dr. Harrison will insert a narrow lighted scope into your uterus via your vagina. She uses the scope to look for growths or abnormalities inside your uterus.

Once Dr. Harrison confirms your diagnosis, she recommends a treatment plan to address the source of the bleeding.

How is abnormal bleeding treated?

If hormonal issues are behind the bleeding, Dr. Harrison may prescribe hormonal birth control, such as a pill, patch, or vaginal ring, to balance your hormone levels. 

Medications called gonadotropin-releasing hormone agonists (GnRH) can stop menstrual bleeding and also shrink fibroids if you have them. Other treatments include anti-inflammatories, medications to make your blood clot, or tranexamic acid, a drug to treat heavy menstrual bleeding.

Do I need surgery for abnormal bleeding?

For more severe cases, Dr. Harrison may suggest a procedure called endometrial ablation to remove your uterine lining. The outpatient procedure stops or significantly reduces your period. 

If your menstrual flow is heavier than usual—or you're bleeding when you didn't before—call or book an appointment online. Sovereign Women's Healthcare can help to get your cycle back on track.