Abnormal Uterine Bleeding: When to Worry

Abnormal uterine bleeding (AUB) refers to any bleeding from the uterus that is different from your normal monthly period. This can include heavier bleeding, bleeding between periods, or bleeding after menopause. Not all abnormal bleeding is serious, but it’s important to know when you should seek medical advice.

When It’s Usually Not Serious

– Teenagers (first 1–2 years after starting periods): Irregular periods are common due to hormone changes.

– Women approaching menopause: Hormonal changes can lead to unpredictable bleeding.

– Temporary lifestyle changes: Stress, weight changes, travel, or excessive exercise may disrupt your cycle.

– Hormonal birth control: May cause spotting or irregular bleeding, especially in the first few months.

👉 However, even in these situations, you should seek help if bleeding becomes very heavy, lasts longer than 7 days, or affects your daily life.

When You Should See a Doctor

– Very heavy bleeding (soaking a pad/tampon every 1–2 hours or passing large clots) or Menorrhagia

– Bleeding between periods or intermenstrual bleeding

– Bleeding after sexual intercourse or post coital bleeding

– Bleeding after menopause (this is always abnormal) or post-menopausal bleeding

– Periods that are very irregular or absent for months or anovulation

– Bleeding with pain, bloating, or unusual discharge

Possible Causes That May Need Evaluation

– Polycystic Ovary Syndrome (PCOS)

– Thyroid hormone imbalance

– Uterine fibroids or polyps

– Adenomyosis or endometriosis

– Cervical or uterine cancer (especially after menopause)

What Tests Might Be Done

– Pelvic exam and Pap smear

– Pelvic ultrasound

– Blood hormone tests (e.g., FSH, LH, TSH, prolactin)

– Endometrial biopsy (especially for women over 35 or with risk factors)

Final Advice

If you experience any unusual or concerning bleeding, don’t ignore it. Talk to your doctor for proper evaluation and management. Early diagnosis can help prevent complications like anemia or detect serious conditions early.

Dr Sharad ObGynae
+6010 7778901