What is Abnormal Uterine Bleeding?
Abnormal Uterine Bleeding (AUB) refers to any bleeding from the uterus that is irregular in volume, duration, or timing, and is unrelated to normal menstruation.
As a gynecologist with over 23 years of experience, We, often meet women who experience heavy, prolonged, or unpredictable periods but dismiss them as “normal.” However, AUB is a medical condition that requires evaluation, as it can impact a woman’s overall health, fertility, and quality of life.
Common Types of Abnormal Uterine Bleeding
Abnormal uterine bleeding can present in different ways:
- Menorrhagia: Excessively heavy or prolonged periods
- Metrorrhagia: Bleeding between menstrual cycles
- Polymenorrhea: Frequent periods (intervals <21 days)
- Oligomenorrhea: Infrequent or irregular cycles
- Postmenopausal Bleeding: Any bleeding after menopause (always needs evaluation)
Common Symptoms
- Bleeding or spotting between periods
- Menstrual cycles shorter than 21 days or longer than 35 days
- Excessive menstrual flow or large blood clots
- Bleeding after intercourse
- Fatigue or dizziness due to anemia
- Postmenopausal bleeding
If you experience any of these, it’s important to seek medical advice rather than managing it silently.
Causes of Abnormal Uterine Bleeding
According to Dr. Sonali Choudhari, AUB can result from a variety of hormonal, structural, or systemic causes, including:
- Hormonal Imbalance (commonly in PCOD, thyroid disorders, or perimenopause)
- Fibroids or Polyps in the uterus
- Endometriosis or Adenomyosis
- Pelvic Infections
- Pregnancy-related complications (miscarriage or ectopic pregnancy)
- Certain Medications (hormones, anticoagulants)
- Bleeding disorders
- Cancer or precancerous changes (rare but important to rule out)
Diagnosis at Shree Clinic
At Shree Clinic, We, take a thorough approach to diagnosing AUB to identify its exact cause before deciding on treatment.
Diagnosis may include:
- Detailed history and physical examination
- Pelvic ultrasound (USG)
- Hormonal tests (thyroid, prolactin, FSH, LH)
- Pap smear or endometrial biopsy (if indicated)
- Hysteroscopy or laparoscopy (in selected cases)
Treatment Options for Abnormal Uterine Bleeding
Treatment is personalized based on the woman’s age, cause, and fertility goals.
- Medical Management
- Hormonal therapy (oral contraceptives, progesterone)
- Non-hormonal medications to reduce bleeding
- Iron supplements for anemia management
- Thyroid or hormonal correction, if applicable
- Minimally Invasive Procedures
- Hysteroscopic Polyp or Fibroid Removal
- Endometrial Ablation (to reduce excessive bleeding)
- Laparoscopic Surgery for fibroids, endometriosis, or adenomyosis
- Hysterectomy (if necessary)
In severe or recurrent cases where other treatments fail, hysterectomy may be recommended for long-term relief — always discussed thoroughly before decision-making.
Why Choose Shree Clinic?
At Shree Clinic, We, offer a safe, compassionate, and scientifically driven environment where women can comfortably discuss menstrual concerns without hesitation.
- Expert Diagnosis – In-depth evaluation using modern imaging and lab tests.
- Customized Treatments – Every woman’s cycle and body are unique — so is every treatment plan.
- Minimally Invasive Options – Advanced laparoscopic and hysteroscopic procedures for faster recovery.
- Holistic Care Approach – Addressing underlying hormonal, nutritional, and lifestyle factors.
- Trusted Experience – Over 23 years in gynecology, associated with Aditya Birla Hospital, Lotus Hospital, Jupiter Hospital, Pune. Cloud Nine Hospital, Surya mother and child Hospital and Oyster and Pearls Hospital.
Take Control of Your Health
If you experience heavy, irregular, or postmenopausal bleeding, please don’t ignore it. Abnormal Uterine Bleeding is treatable — and early diagnosis can make all the difference.
At Shree Clinic, We, provide comprehensive evaluation, advanced treatment options, and ongoing care to help you regain hormonal balance and menstrual health.
- Consultation available online and offline at Shree Clinic Wakad
- Sonali Chaudhari, MBBS, DGO, FICOG, Diploma in Aesthetic Gynecology
- Your trusted partner in women’s wellness and preventive gynecology.