Abnormal Uterine Bleeding

Abnormal uterine bleeding (AUB), while commonly heard of, remains a topic shrouded in ambiguity. It’s akin to that puzzling chapter in a book that you can’t seem to decode. Summit Women’s & Wellness Medical Group is here to help you untangle the complexities of AUB, ensuring clarity replaces confusion.

What is Abnormal Uterine Bleeding?

At its core, abnormal uterine bleeding is a deviation from the regular menstrual cycle. But rather than taking this definition at face value, let’s appreciate its nuances. Think of it as a deviation from your normal. It could manifest as excessive bleeding during periods, bleeding between cycles, spotting, or even an absent period.

Causes of AUB

A multitude of factors can orchestrate the irregularities associated with AUB:

  1. Hormonal Tango: An imbalance in estrogen and progesterone can lead to irregular shedding of the uterine lining, causing AUB. It’s like a dance where one partner steps out of sync, throwing off the rhythm.
  2. Uterine Fibroids and Polyps: These noncancerous growths in the uterus can lead to heavier, prolonged periods.
  3. Endometrial and Uterine Cancer: Although less common, these can lead to AUB. Regular check-ups are vital to rule out these causes.
  4. Medications and Birth Control: Some medicines, including certain types of birth control, can influence bleeding patterns.
  5. Miscellaneous Causes: Pregnancy complications, bleeding disorders, infections, and other medical conditions can also be the culprits.

Symptoms to Watch For

Besides the irregularities in bleeding patterns, other indicators can accompany AUB:

  • Duration Discrepancies: A menstrual cycle lasting longer than 38 days or shorter than 24 days might be a sign.
  • Volume Variance: Soaking through pads/tampons within an hour for several hours might be an indication.
  • Spotting Mysteries: Unexpected spotting or bleeding between cycles should never be ignored.
  • Physical and Emotional Symptoms: Fatigue, paleness, shortness of breath, mood swings, or depression can accompany AUB due to the potential loss of excessive blood.

Identifying AUB

To pinpoint AUB, doctors often:

  • Conduct a detailed medical history.
  • Recommend blood tests to detect issues like anemia or thyroid disorders.
  • Suggest imaging tests, such as ultrasound.
  • Advise endometrial biopsy to extract a tissue sample from the uterus.

Treatment Approaches

Treatment for AUB is like mapping a route; it’s tailored to the cause and severity of the condition. Some potential paths include:

  1. Hormonal Therapies: Birth control pills, patches, or vaginal rings can help regulate the menstrual cycle.
  2. Non-Hormonal Medications: NSAIDs, like ibuprofen, might be recommended to reduce menstrual blood loss.
  3. Surgical Interventions: Procedures like endometrial ablation, uterine artery embolization, or even a hysterectomy might be suggested based on the cause and severity of AUB.
  4. Watchful Waiting: Sometimes, especially when AUB is due to hormonal changes in adolescents or approaching menopause, observation without active treatment might be the route taken.

Self-Care and Vigilance

Remember, understanding AUB isn’t just the responsibility of healthcare professionals. Taking note of your menstrual patterns, being observant of any anomalies, and timely consultations are crucial. Self-care, a balanced diet, regular exercise, and stress management also play their part in managing and preventing AUB.

Charting New Horizons with Summit Women’s & Wellness Medical Group

Abnormal uterine bleeding might be a riddle, but with the right guide, it’s one you don’t have to solve alone. Embark on a journey of understanding, care, and comprehensive treatment with Summit Women’s & Wellness Medical Group. Because your well-being isn’t just about medical expertise—it’s about a partnership that navigates the intricate narrative of health together. Connect with us and redefine your wellness story.


  1. “Abnormal Uterine Bleeding.” American College of Obstetricians and Gynecologists.
  2. “Uterine Bleeding: Causes and Diagnosis.” The Office on Women’s Health, U.S. Department of Health & Human Services.
  3. “Abnormal Vaginal Bleeding.” The National Institutes of Health (NIH).