Uterine bleeding is one of the health problems that raises concern for many women, especially after it occurs during times other than the menstrual cycle. There are many causes of uterine bleeding, whether hormonal or organic, which requires rapid medical intervention. At Al Mousa Specialist Hospital, you are provided with integrated care and accurate diagnosis using the latest medical technologies, in order to ensure the comfort and safety of every patient suffering from this condition. Follow below to learn all the details about the causes of uterine bleeding, its symptoms, and methods of diagnosis and treatment.
What are the causes of uterine bleeding?
There are many causes of uterine bleeding that vary according to age and health condition, and the most prominent of these causes are as follows:
- Hormonal imbalance, such as disturbances in the hormones estrogen and progesterone, especially during puberty or before menopause.
- Fibroids, which are benign tumors of the uterine muscle, may cause abnormal bleeding.
- One of the most prominent causes of uterine bleeding is polycystic ovary syndrome, which leads to menstrual disorders and frequent or severe bleeding.
- Polyps or tumors inside the uterus such as polyps or uterine cancer.
- The use of some medications is one of the most prominent causes of uterine bleeding, such as contraceptive medications or blood thinners.
- Pregnancy and its complications such as miscarriage or ectopic pregnancy.
- Infection or inflammation of the uterus, cervix, or vagina.
- Psychological stress and tension, which affect the regularity of the menstrual cycle and lead to bleeding.
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Symptoms of uterine bleeding
Symptoms of uterine bleeding vary depending on the cause but often include the following:
- Unusual bleeding between menstrual periods or after sexual intercourse.
- Unusually heavy menstruation with the use of a large number of sanitary pads.
- Bleeding continues for a longer than normal period of more than 7 days.
- The appearance of blood clots in the descending blood.
- Severe cramps or pain in the lower abdomen.
- General weakness or dizziness due to blood loss, especially in chronic cases.
- Facial paleness and rapid heartbeat in the presence of anemia resulting from bleeding.
Treatment of uterine bleeding
Treatment of uterine bleeding depends on the causes of uterine bleeding and its severity, and depends on the patient’s age and her reproductive plans. The most prominent treatment methods are as follows:
- Pharmacological treatment, which includes the use of hormonal birth control pills to regulate the cycle or blood medications in severe cases.
- Treating the underlying cause, such as removing fibroid tumors surgically or laparoscopically, or treating uterine infections or cysts with medications.
- Using a hormonal IUD is an effective way to reduce chronic bleeding associated with hormonal problems.
- Surgical intervention in difficult cases. The doctor may resort to removing the entire lining of the uterus or the uterus if necessary.
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Diagnosis of uterine bleeding
After we learned about the causes of uterine bleeding, we refer to the diagnosis of uterine bleeding, and the diagnosis is made through a group of tests and procedures that help the doctor accurately determine the cause, and this includes the following:
- Medical history and clinical examination, where the doctor begins by asking the patient about the nature, duration, and frequency of bleeding, in addition to any accompanying symptoms such as pain or menstrual changes. Then the doctor performs a gynecological examination to evaluate the uterus and vagina.
- Conducting blood tests, which include measuring hemoglobin levels to detect anemia, in addition to analyzing hormones such as estrogen, progesterone, and thyroid hormones.
- Ultrasound is used to image the uterus and ovaries. It is also used to confirm the presence of fibroids, cysts, or thickening of the uterine lining.
- A hysteroscopy is performed to examine the uterine lining from the inside and take a sample from it for analysis if necessary, especially in cases of unexplained bleeding or when tumors are suspected.
- Taking a biopsy of the uterine lining, which helps rule out tumors or abnormal changes in the uterine cells.
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When should you visit a doctor?
It is important to visit a doctor immediately if you notice any of the following symptoms related to uterine bleeding or menstrual disorders, which are:
- Unusual or heavy bleeding that lasts more than seven days.
- Bleeding between menstrual periods or after menopause.
- Feeling sharp pain in the pelvis or abdomen with bleeding.
- Appearance of signs of anemia such as extreme fatigue, dizziness, or shortness of breath.
- Delayed pregnancy or recurring reproductive problems.
Frequently asked questions
When is uterine bleeding dangerous?
Uterine bleeding is considered dangerous when it is abnormally heavy, or when it continues for a long time without stopping, or the bleeding may occur outside the usual menstrual cycle times, especially if it is accompanied by symptoms such as dizziness, fainting, general weakness, or signs of anemia such as paleness of the face and rapid heartbeat. Bleeding is also considered worrisome if it occurs after menopause, and may indicate serious health problems such as tumors or severe hormonal changes.
What is the cause of bleeding from the uterus other than menstruation?
Bleeding from the uterus outside of the menstrual cycle may be the result of many reasons. Among the causes of uterine bleeding are hormonal disorders such as an imbalance in the level of estrogen or progesterone, or the presence of benign tumors such as fibroids or infections in the uterus or cervix, or the use of hormonal contraceptives. It can also be due to an ectopic pregnancy or early miscarriage, and in some cases it is a symptom of more serious problems such as uterine or cervical cancer, which requires seeing a doctor immediately.
How do I differentiate between bleeding and menstrual blood?
It is possible to differentiate between bleeding and menstrual blood through some factors. Menstrual blood is usually regular in its timing, brown or dark red in color, and lasts from three to seven days, and is accompanied by usual cramps. However, abnormal bleeding may occur at times other than the period of the period, and it is bright red in color or has an abnormally heavy density, and lasts for a longer or shorter period without a clear pattern, and is often not accompanied by the same menstrual symptoms, which requires consulting a doctor for a proper diagnosis.
Do not be negligent in seeking care when symptoms of uterine bleeding appear. Early treatment protects health and prevents complications. At Al Mousa Specialist Hospital, you get integrated care and accurate diagnosis with the latest equipment to ensure your comfort and safety. Do not hesitate and book your appointment now.
المصادر:
Abnormal Uterine Bleeding – familydoctor
