If you’re a woman of childbearing age, you can expect to have a menstrual period every month. Atypical menstruation and other types of uterine bleeding, though, can not only be uncomfortable and unpleasant, they might also indicate you have a bleeding disorder that can cause complications.
Led by Anita Gondy, MD, Saovaros Michaels, MD, and Henry Luh, DO, our experienced OB/GYN team at Women's Health Associates of Southern Nevada, Northwest specializes in the diagnosis and treatment of any abnormal uterine bleeding. Discover how you can tell if your uterine bleeding needs attention and the diagnosis and treatment options available.
How do I know if my uterine bleeding is abnormal?
Your uterine bleeding could be abnormal, which can be a sign of a bleeding disorder, if you experience anything other than standard menstrual bleeding. This means you should have our clinicians perform an evaluation if your period is frequently heavy, irregular (missed periods or cycles longer than 38 days or shorter than 24 days), lasts longer than a week, or lasts two days or fewer.
You should also get any uterine bleeding evaluated if you:
- Bleed between your menstrual periods
- Are bleeding after menopause
- Spot or bleed after sexual intercourse
- Are pregnant or suspect you are pregnant
Causes behind bleeding disorders
A bleeding disorder can have a number of different causes, which our practitioners will evaluate you for at your appointment at WHASN - NW. Some of the most common reasons you might experience abnormal uterine bleeding include:
- Hormonal imbalances, which are often caused by endometriosis, menopause, medications, sudden weight changes, or stress
- Growths in your uterus, which can be caused by uterine polyps, uterine fibroids, and adenomyosis
- Irregular ovulation, which can be caused by hypothyroidism and polycystic ovary syndrome (PCOS)
- Blood clotting or bleeding disorders
- Uterine cancer
Determining the cause of your bleeding disorder
At your initial appointment, our team at WHASN - NW performs a full evaluation with a pelvic exam. From there, they might recommend getting an Endosee® office hysteroscopy to clarify your diagnosis.
The Endosee is an easy, in-office procedure performed by our board-certified OB-GYNs. Our doctors insert the Endosee, which is a very narrow scope, into your uterus via your cervix.
During the procedure, the Endosee sends pictures of your uterus for our doctors to view. From these, they can determine the cause of your abnormal uterine bleeding and whether a further biopsy of your uterine cells is needed.
Treating your bleeding disorder
Once they know the cause of your abnormal bleeding, our doctors can personalize a treatment plan to resolve your abnormal uterine bleeding. Your treatment varies based on the underlying cause and your needs.
If hormonal imbalances or irregular ovulation causes your abnormal bleeding, our doctors might recommend a hormonal IUD to treat the problem. They can also resolve many kinds of abnormal bleeding with medications.
If you have a condition causing fibroids or growths, a minimally invasive procedure can bring relief. This includes endometrial ablation, which removes your uterine lining.
If you’re experiencing abnormal uterine bleeding and think you might have a bleeding disorder, call our Las Vegas, Nevada office or request an appointment online to discuss your options.