Abnormal Uterine Bleeding: When to Seek Medical Advice

Q: Abnormal Uterine Bleeding: When to Seek Medical Advice

Previous menstrual periods： September 15-20 and October 14-19 were normal. <br>Abnormal bleeding started on November 4, requiring the use of panty liners, and continued until November 14. <br>The menstrual flow returned to normal on November 19 and ended (cleared). <br>Abnormal b

Abnormal uterine bleeding?

Hello, I would like to inquire about my previous menstrual periods: they were normal from September 15 to 20 and October 14 to 19.
However, on November 4, I started experiencing abnormal bleeding, which required the use of panty liners and continued until November 14.
My menstrual flow returned to normal and ended on November 19 (cleared).
Then, on December 1, I started having abnormal bleeding again, requiring panty liners.
What could be the potential issues causing this? Should I see a doctor now due to the abnormal bleeding, or would it be better to wait until the end of my December menstrual period to consult a doctor?

kāndī, 30~39 year old female. Ask Date: 2017/12/02

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Previous menstrual periods: September 15-20 and October 14-19 were normal.
Abnormal bleeding started on November 4, requiring the use of panty liners, and continued until November 14.
The menstrual flow returned to normal on November 19 and ended (cleared).
Abnormal bleeding began again on December 1, requiring panty liners.
What could be the possible issues causing this? Should I see a doctor now due to the abnormal bleeding symptoms, or is it better to wait until the end of my December menstrual period to see a doctor? Answer: It is advisable to see a doctor now due to the abnormal bleeding symptoms.

Reply Date: 2017/12/02

More Info

Abnormal uterine bleeding (AUB) can be a concerning issue for many women, and understanding when to seek medical advice is crucial for proper diagnosis and treatment. Based on your description, it seems that you have experienced irregular bleeding between your menstrual cycles, which is not typical for your usual pattern. This can be indicative of various underlying conditions, and it is essential to approach this matter with care.

Firstly, it is important to recognize that menstrual cycles can vary due to a multitude of factors, including hormonal imbalances, stress, changes in weight, and lifestyle factors. In your case, the abnormal bleeding starting on November 4 and continuing until November 14, followed by another episode on December 1, suggests that there may be an underlying issue that needs to be addressed.
Common causes of AUB include:
1. Hormonal Imbalances: Fluctuations in estrogen and progesterone levels can lead to irregular bleeding. This is particularly common in adolescents and women approaching menopause, but it can occur at any age.

2. Uterine Fibroids or Polyps: These benign growths in the uterus can cause heavy or prolonged bleeding. They may not always present with symptoms, but when they do, they can significantly affect menstrual patterns.

3. Endometrial Hyperplasia: This condition involves the thickening of the uterine lining and can lead to heavy bleeding. It is often related to prolonged estrogen exposure without adequate progesterone.

4. Infections: Pelvic inflammatory disease (PID) or other infections can cause abnormal bleeding along with other symptoms like pain or unusual discharge.

5. Thyroid Disorders: Both hyperthyroidism and hypothyroidism can affect menstrual cycles and lead to irregular bleeding.

6. Medications: Certain medications, especially hormonal contraceptives, can cause changes in bleeding patterns. If you are on any medications, it is worth discussing with your healthcare provider.

Given your situation, it is advisable to seek medical attention sooner rather than later. While it might be tempting to wait until your next menstrual cycle concludes, the persistence of abnormal bleeding can indicate a need for further evaluation. A healthcare provider can perform a thorough assessment, which may include:
- A detailed medical history and physical examination.

- Blood tests to check hormone levels and rule out conditions like thyroid dysfunction or clotting disorders.

- Imaging studies, such as an ultrasound, to visualize the uterus and ovaries for any abnormalities.

- A pelvic exam to check for signs of infection or other issues.

In summary, if you are experiencing abnormal uterine bleeding, especially if it is persistent or accompanied by other symptoms such as pain, fatigue, or changes in your overall health, it is important to consult with a healthcare provider. Early intervention can help identify any underlying issues and provide appropriate treatment, ensuring your reproductive health is maintained. Remember, your health is paramount, and seeking help is a proactive step towards understanding and managing your symptoms effectively.

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