The Ob-Gyn Center
OBGYNs located in Las Vegas, NV
Sometimes there’s no doubt when your bleeding is abnormal, like when you bleed between periods or you bleed after menopause. But most women with heavy menstrual bleeding or long-lasting periods don’t realize they may have a bleeding disorder. The doctors at The Ob-Gyn Center have extensive experience identifying the cause of your bleeding and providing treatment that restores your health. If you have questions about your uterine bleeding, call the office in Las Vegas or book an appointment online.
Bleeding Disorders Q & A
What is abnormal uterine bleeding?
Bleeding that meets any of these guidelines is considered abnormal uterine bleeding:
- Bleeding or spotting between your menstrual periods
- Bleeding or spotting after sexual intercourse
- Heavy bleeding during your period
- Menstrual cycles shorter than 24 days or longer than 38 days
- Irregular periods or periods lasting longer than seven to nine days
- Bleeding after menopause
Any type of abnormal bleeding may be a sign of an underlying health problem that needs treatment. Additionally, heavy periods put you at risk for developing iron-deficiency anemia.
What conditions commonly cause bleeding disorders?
Abnormal uterine bleeding may develop due to a systemic problem like a thyroid disorder. However, it’s most likely to be caused by:
- Uterine fibroids: benign tumors found in or on the uterus
- Uterine polyps: overgrowth of tissue on the uterine lining
- Endometriosis: tissues like those lining the uterus grow outside the uterus
- Adenomyosis: endometrial tissue grows into the muscular uterine wall
- Irregular ovulation: often caused by polycystic ovary syndrome and hypothyroidism
- Uterine cancer: heavy bleeding is an early sign of endometrial cancer
A bleeding disorder that interferes with blood clotting can also lead to abnormal uterine bleeding. In fact, it’s estimated that one in 10 women with heavy menstrual periods may have a bleeding disorder.
How are gynecological bleeding disorders diagnosed and treated?
After undergoing a thorough pelvic exam, your doctor at The Ob-Gyn Center may recommend an Endosee® office hysteroscopy. This procedure is done in the office using the handheld Endosee device to see inside your uterus.
The Endosee consists of a very narrow scope that’s gently inserted through your cervix and into the uterus. The hysteroscope contains a light and camera that sends images to a monitor, allowing your doctor to determine the cause of your bleeding. If necessary, an endometrial biopsy can be done during the Endosee procedure.
Depending on your personal needs and the cause of your bleeding, your doctor may recommend an IUD to treat the problem. Several hormone-containing IUDs, including Mirena®, Kyleena®, Skyla®, and Liletta®, help to reduce menstrual bleeding. The nonhormonal Paragard® IUD also diminishes menstrual bleeding over time.
Several medications are available to treat irregular or heavy bleeding. When medical management doesn’t help, an endometrial ablation to remove the uterine lining may be your best option. You may need surgery when the underlying cause is a condition like fibroids or endometriosis.
Any time you experience abnormal bleeding, call The Ob-Gyn Center or use online booking to schedule an appointment.
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