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Abnormal uterine bleeding: See Causes, Symptoms, and Treatments


Uterine bleeding outside the menstrual period affects most women and can be dangerous to health

Abnormal uterine bleeding (AUB) is characterized by uterine blood loss outside the menstrual period. It occurs with abnormality in regularity, volume, frequency or duration. According to information from the Brazilian Federation of Gynecology and Obstetrics Associations (Febrasgo), this problem affects 40% of women in the world.




Abnormal uterine bleeding is characterized by uterine blood loss outside the menstrual period

“The menstrual cycle normally has a range of 25 to 35 days. When this cycle is longer or shorter than this period, we speak of abnormal uterine bleeding,” explains Dr. Evelyn Prete, gynecologist, obstetrician and owner of the Alve Medicina clinic.

Causes of abnormal uterine bleeding

The reasons leading to abnormal uterine bleeding can be different. As explained by Dr. Thais Ushikusa, gynecologist, obstetrician and medical director of women’s health at Bayer Brasil, can be caused by structural alterations of the anatomy of the uterus, such as fibroids, polyps and adenomyosis. “When there is no structural change, it can be caused by hormonal disordersuse of drugs or devices and bleeding disorders,” he adds.

Also according to the doctor, this is a difficult condition to diagnose. “Despite the large number of patients, diagnosis can take years or even have no identified or overlooked cause,” he says. But in any case, SUA should not be ignored.

You need to seek out a gynecologist to investigate the source of the abnormal bleeding. “If left untreated, this problem can lead to iron deficiency anemia and even bleeding,” says Dr. Mauricio Abrão, gynecologist, professor of Gynecology at FMUSP and president of the American Association of Laparoscopic Gynecology.

symptoms of the disease

The main symptom of abnormal uterine bleeding is uterine blood loss outside the menstrual period. “It can also happen that patients have a little irregular bleeding outside the menstrual periodsuch as menstrual spotting or even bleeding outside the menstrual period, which can join the menstrual flow and cause long periods,” says Dr. Evelyn Prete.



Abnormal uterine bleeding can affect women's mood

Interference in the patient’s life

This condition can have a negative impact on the life of patients. As per Dr. Thais Ushikusa, it can cause:

  • social embarrassment when blood extravasation occurs;
  • need to plan day to day due to the menstrual period;
  • fatigue;
  • tiredness;
  • dizziness;
  • anemia;
  • deterioration of sports performance;
  • reduced libido;
  • deterioration of productivity at work.

Treatment for abnormal uterine bleeding

Treatment options for AUB vary from person to person, as the causes of bleeding are different. However, in general, hormonal IUDs, birth control pills, and/or anti-inflammatory drugs can be used. “In severe cases, when the drug is not enough, the patient may need to have surgery to remove the foci causing the abnormal bleeding,” explains Dr. Maurice Abram.

In addition, some changes in the patient’s lifestyle may also be necessary depending on the reasons for the bleeding. “Changes of life habitsthey are also important, since uterine bleeding can also have an inflammatory origin. In these cases, an anti-inflammatory diet is recommended,” explains Dr. Evelyn Prete.

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Source: Terra

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