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What is abnormal uterine bleeding?

Any form of uterine bleeding where spotting or bleeding occurs outside the regular menstrual period, the experience of more frequent periods, heavier flow during the menstrual cycle and prolonged bleeding during the period qualifies as abnormal uterine bleeding.

Since not all women have a monthly period that arrives on the exact date, a limit of between 21 and 35 days between 2 periods is permissible. If this is either exceeded or experienced sooner, an examination of the causes for the bleeding may be necessary.

What are the main signs and symptoms?

While doctors do orient women on acceptable deviations from the date of the period, there are some defined signs that point to abnormal uterine bleeding, which include:

  • A period that more frequent than once in 3 weeks, or takes longer than 5 weeks.
  • A period lasting over a week or under 2 days.
  • Changing tampons or periods more frequently than once an hour.
  • Bleeding or spotting after intercourse or between periods.

What are its main causes?

The most common cause for the condition is an imbalance in hormones. Other conditions may include:

How is it diagnosed and treated?

Immediate diagnosis may not be possible, since the doctor would run a physical examination, and may decide to observe the next cycle and period in between. A pregnancy test and medical history are other steps that form the primary diagnosis. This is followed by blood tests for hormonal imbalance, iron deficiency or blood-related disorders. The doctor will also run an ultrasound to check the uterus, or a hysteroscopy to examine the cervix. A biopsy may be conducted if cancer or other disorder is suspected.

Depending on what the diagnosis indicates, a course of treatment is chosen to address the issue and provide quick relief. Some courses of treatment are:

  • Hormonal medication to regularise periods and lessen blood flow include birth control medication. Gonadotropin-releasing hormone agonists. (Read more: Irregular period treatment)
  • Anti-inflammatory medicines to lower blood flow.
  • Tranexamic acid for blood clotting and reducing bleeding.
  • Endometrial ablation which destroys the lining of the uterus, but virtually stops the period thereafter.
  • Myomectomy – which removes fibroids or cuts off blood supply to them.
  • Hysterectomy for large fibroids or uterine cancer.
  1. Medicines for Abnormal Uterine Bleeding

Medicines for Abnormal Uterine Bleeding

Medicines listed below are available for Abnormal Uterine Bleeding. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
NaturogestNATUROGEST 200MG INJECTION 2ML0
GestofitGESTOFIT 300MG CAPSULE 10S303
DubagestDUBAGEST 100MG TABLET139
SustenSUSTEN 100MG INJECTION 1ML 5S565
Deviry TabletDeviry 10 Mg Tablet44
Primolut NPrimolut-N Tablet42
NeogestNeogest 100 Mg Capsule287
N GestN Gest 100 Mg Capsule89
NidagenNidagen 100 Mg Capsule92
Agretax MfAgretax Mf 500 Mg/250 Mg Tablet48
NovarelNovarel 100 Mg Injection73
Biostat MfBiostat Mf Tablet104
OgestOgest 100 Mg Capsule74
ChromostatChromostat Injection6
OirgametrilOirgametril 5 Mg Tablet23
Clot Xl MClot Xl M 500 Mg/250 Mg Tablet200
OptogestOPTOGEST 100MG TABLET 10S145
OrgagestOrgagest 200 Mg Capsule106
Cosklot MfCosklot Mf 500 Mg/250 Mg Tablet188
PeetonePeetone 250 Mg Injection33
Din TmDin Tm 500 Mg/250 Mg Tablet76
PgronPgron 100 Mg Injection56
Emsyl TmEmsyl Tm 500 Mg/250 Mg Tablet128
PlacentonePlacentone 100 Mg Tablet109
Etosys MfEtosys Mf 500 Mg/250 Mg Tablet149

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References

  1. American College of Obstetricians and Gynecologists. Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women. Washington, DC; USA
  2. American Society for Reproductive Medicine. Abnormal Uterine Bleeding. The American Fertility Society; U.S. state of Alabama
  3. Ministry of Health and Family Welfare. Abnormal uterine bleeding. Government of India
  4. Lucy Whitaker, Hilary O.D. Critchley. Abnormal uterine bleeding. Best Pract Res Clin Obstet Gynaecol. 2016 Jul; 34: 54–65. PMID: 26803558
  5. MedlinePlus Medical Encyclopedia: US National Library of Medicine; Abnormal uterine bleeding
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