Abnormal Uterine Bleeding

Learn about Abnormal Uterine Bleeding, its symptoms, causes, diagnosis, and treatment options at Blume Health.

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What Causes It?

Hormonal imbalances (PCOS, thyroid disorders, ovulatory dysfunction)

Structural abnormalities (fibroids, polyps, adenomyosis)

Pregnancy-related complications and miscarriages

Medications (anticoagulants, hormonal therapies, IUDs)

Coagulation disorders (von Willebrand disease, platelet dysfunction)

Endometrial hyperplasia or malignancy

Pelvic inflammatory disease (PID) and infections

Stress, extreme weight changes, and lifestyle factors

Signs & Symptoms

Heavy menstrual bleeding (soaking pad/tampon every hour)

Prolonged menstrual periods (lasting more than 7 days)

Irregular bleeding between menstrual cycles

Bleeding after menopause

Passing large blood clots during menstruation

Fatigue, weakness, and shortness of breath

Pelvic pain and cramping

Anemia symptoms (dizziness, pallor, rapid heartbeat)

How We Diagnose

Our specialists use advanced diagnostic methods to accurately identify and assess your condition

Transvaginal Ultrasound

First-line imaging to evaluate uterine structure, endometrial thickness, and detect fibroids, polyps, or other abnormalities. Non-invasive and cost-effective diagnostic tool widely available in India.

Endometrial Biopsy

Office-based procedure to sample endometrial tissue for histological examination. Essential for women over 45 or those with risk factors for endometrial cancer. Highly specific for diagnosing hyperplasia and malignancy.

Hysteroscopy

Direct visualization of the uterine cavity using a thin, lighted telescope. Gold standard for diagnosing and treating intrauterine pathology like polyps and fibroids. Can be diagnostic or operative.

Laboratory Tests

Complete blood count to assess anemia, pregnancy test, thyroid function tests, coagulation studies, and hormonal assessments (FSH, LH, prolactin) to identify underlying causes.

Sonohysterography

Saline-infusion sonography that provides detailed view of uterine cavity. More accurate than standard ultrasound for detecting focal lesions and endometrial abnormalities.

Treatment Options

Personalized treatment plans tailored to your specific needs and condition

Hormonal Therapy

Combined oral contraceptives, progestins, or GnRH agonists to regulate menstrual cycles and reduce bleeding. First-line medical treatment for most cases of abnormal uterine bleeding.

Levonorgestrel IUD (LNG-IUS)

Mirena IUD releases progestin locally, reducing menstrual blood loss by 71-95%. Highly effective for heavy menstrual bleeding with added contraceptive benefit. Can achieve amenorrhea in many patients.

Non-hormonal Medications

Tranexamic acid reduces blood loss by improving clotting. NSAIDs like ibuprofen decrease prostaglandin production and bleeding. Iron supplements treat associated anemia.

Surgical Interventions

Dilation and curettage (D&C) for immediate bleeding control and tissue sampling. Hysteroscopic removal of polyps and fibroids. Endometrial ablation for fertility-complete women.

Advanced Procedures

Uterine artery embolization for fibroid-related bleeding. Hysterectomy as last resort for severe cases resistant to other treatments. Balloon tamponade for emergency hemorrhage control.

Home Remedies

Iron-Rich Diet

Include iron-rich foods like spinach, lentils, jaggery, and pomegranate to combat anemia. Vitamin C foods like citrus fruits enhance iron absorption. Essential for managing heavy bleeding complications.

Ashoka (Saraca indica)

Traditional Ayurvedic herb for female reproductive health. Ashoka bark decoction helps regulate menstrual cycles and reduce excessive bleeding by toning uterine muscles and balancing pitta dosha.

Shatavari (Asparagus racemosus)

Queen of herbs in Ayurveda for women's health. Shatavari powder with warm milk helps balance hormones, regulate cycles, and provide nourishment to the reproductive system.

Cold Therapy and Rest

Apply cold compress to lower abdomen to constrict blood vessels and reduce bleeding. Adequate rest and stress management help maintain hormonal balance and reduce symptom severity.

Fenugreek (Methi) Seeds

Soak fenugreek seeds overnight and consume the water to help regulate hormones. Rich in phytoestrogens that may help balance menstrual cycles and reduce heavy bleeding.

Turmeric and Ginger

Anti-inflammatory properties help reduce pain and regulate menstrual flow. Turmeric milk or ginger tea can provide natural relief from heavy bleeding and associated discomfort.

Prevention Tips

Maintain healthy weight through balanced diet and regular exercise

Manage stress through yoga, meditation, and adequate sleep

Regular gynecological check-ups and cervical cancer screening

Monitor menstrual cycles and track any changes in pattern or flow

Address underlying conditions like PCOS, thyroid disorders promptly

Avoid excessive use of NSAIDs and blood-thinning medications

Practice good menstrual hygiene and use appropriate sanitary products

Stay hydrated and maintain balanced nutrition with adequate iron intake

Avoid smoking and limit alcohol consumption

Seek medical attention for persistent irregular bleeding patterns

Surgical Solutions

Advanced surgical procedures performed by our expert specialists

Hysteroscopic Polypectomy

Minimally invasive removal of uterine polyps using hysteroscope, preserving fertility while treating bleeding

Myomectomy

Surgical removal of uterine fibroids while preserving the uterus, available as hysteroscopic, laparoscopic, or open procedures

Endometrial Ablation

Destruction of endometrial lining to reduce or stop menstrual bleeding, suitable for women who have completed childbearing

Dilation and Curettage (D&C)

Scraping of uterine lining for both diagnostic and therapeutic purposes, often combined with hysteroscopy

Hysterectomy

Complete removal of uterus for severe cases unresponsive to other treatments, available as vaginal, laparoscopic, or abdominal approach

Ready to Take the Next Step?

Our specialists are here to provide expert care for abnormal uterine bleeding. Schedule your consultation today.

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Sunday: 9:00 AM - 2:00 PM