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Gynecology

Abnormal Uterine Bleeding - What To Do

Often medical research is needed to find the reason of the bleeding.



An abnormal uterine bleeding can have many reasons and it's highly important to find out the cause quickly.

Once, I walked into a patient’s room and found her unconscious on the bathroom floor. She had suffered severe uterine blood loss causing anemia. Her color was gray, skin cold and blood pressure 70/30 (extremely low). She was very close to death but we saved her.

I have seen this more than a few times. Please do not let it happen to you.

In peri/premenopausal women over 40, abnormal bleeding from the uterus may be a sign of a serious health problem. It needs to be checked by your health care provider as soon as possible

Please don't ignore this heavy bleeding or think it’s just normal. It is not!

Pay attention to the obvious signs of anemia that result from excessive bleeding and seek immediate medical attention to save your life…….

Usually women will continue their daily routine during menstrual periods. If we feel yucky and out of sorts which is visibly obvious to others, we may frown and tell a co-worker it’s due to that time of the month. Right?

However Ladies, be very careful if your bleeding becomes increasingly heavy and with large clots every month. Pay attention to how you are feeling. If you are starting to feel dizziness or faint, seek medical attention right away.

If someone says you look pale and you’re feeling weak all over – go, go, and go to a doctor or emergency health facility. If you are breathless and your heart is beating very fast – get going, find medical help. If you are alone, you must call for an ambulance or emergency medical service. Do not drive yourself unless you have spoken to a health care provider by phone who feels it’s safe.

There is another way to suspect anemia. It’s called Pica. I know this may sound crazy but trust me it’s true. Pica is a craving to eat non-food things like paint chips, clay, plaster, or dirt. Food items used are baking powder, cornstarch and ice. Discuss this craving with your doctor as well. She/he can order a simple blood test to check for anemia.

For women over 40 with abnormal uterine bleeding, your doctor will need details about your bleeding to help with diagnosing your problem. Please jot down answers to the following and take it with you for your doctor visit:

  • When the bleeding occurs
  • The amount and color of the blood
  • The presence of clots, pelvic pain or other related symptoms
  • Information about your use of contraceptives (birth control methods)
  • Any medications you’re taking
  • Other medical problems

Abnormal Uterine Bleeding after Menopause

When a woman is menopausal, periods have stopped entirely. Use of hormone replacement therapy (HRT) can cause uterine bleeding to resume. Women who have uterine bleeding after menopause need to see their doctor immediately to make sure it’s not cancer.

Ladies, I wish you all good health, empowerment and a long life.

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