Did you know that most abnormal menstrual bleeding problems are caused by an imbalance in hormones? Or those women who have abnormal Pap smears have a very small chance of developing cervical cancer from those abnormal cells?
Of course, the best place to get answers or information about your own health is always your doctor or nurse practitioner, but here are a few of the most common topics and concerns that women have regarding their gynecologic health.
- Abnormal Uterine Bleeding, diagnosis and treatment
- Abnormal Pap smear and follow up
Abnormal uterine bleeding, diagnosis and treatment
This term is a catchall for problems associated with vaginal bleeding. This may be related to the menstrual cycle, but at times abnormal bleeding may occur before the onset of menses, during pregnancy and after menopause.
Overwhelmingly, bleeding problems are caused by an imbalance in the hormones that control the menstrual cycle and are referred to as “dysfunctional uterine bleeding.” When vaginal bleeding is not related to the menstrual cycle, it is of increased concern. This is especially true when it occurs in childhood before menstruation has begun, during pregnancy, and at midlife, after a woman has entered menopause.
When to call your Doctor:
- Periods less than 21 days apart or more than 45 days apart
- Severe abdominal or pelvic pain occurs during menstruation or sexual intercourse
- Menstrual bleeding is excessive (more than one pad or tampon per hour for several hours)
- Menstrual periods lasting longer than 7 days
- Bleeding or spotting between periods
- Abnormal vaginal bleeding may be more likely associated with the following:
In a young, pre-pubertal girl
- Sexual abuse
- A blood clotting problem
- Early puberty
- Severe vaginal irritation (bubble bath, etc.)
In a woman of reproductive age
- Tubal or ectopic pregnancy
- Molar pregnancy
- Hormone imbalance
- Placenta previa – pregnancy where the placenta lies low near or over the cervix
- Uterine fibroids
- Certain kinds of cysts and tumors (rarely cancerous)
- Birth control pills
- IUD (intrauterine device)
In post-menopausal women
- Effects of hormone replacement therapy
- Certain kinds of cysts and tumors (not cancerous)
- Atrophic vaginitis (irritation and drying)
- Weakened pelvic floor muscles causing prolapsed Uterus
Diagnosis and Treatment
- Operative Hysteroscopy
- Endometrial ablation
- Endometrial Biopsy
- Fibroid tumors
We will an insight with more such problems in the second part of the blog. It is important that you are aware of such problems to avoid such situations or find a quick cure.