Abnormal uterine bleeding can have various causes and can be a symptom of an underlying medical condition. Some common causes of abnormal uterine bleeding include:

  • Hormonal Imbalance: Hormonal imbalances, such as those caused by thyroid dysfunction, polycystic ovary syndrome (PCOS), or perimenopause, can cause irregular bleeding.

  • Uterine Fibroids: Uterine fibroids are non-cancerous growths that can cause heavy, painful periods.

  • Endometriosis: Endometriosis is a condition in which the tissue that lines the uterus grows outside of it, leading to heavy bleeding and pain.

  • Adenomyosis: Adenomyosis is a condition in which the tissue that normally lines the uterus grows into the muscular wall of the uterus, causing heavy, painful periods.

  • Pelvic Inflammatory Disease (PID): PID is an infection of the reproductive organs that can cause abnormal bleeding.

  • Polyps: Uterine polyps are growths in the lining of the uterus that can cause irregular bleeding.

  • Cancer: Abnormal bleeding can also be a symptom of uterine, cervical, or ovarian cancer.

If you are experiencing abnormal bleeding, it is important to see a healthcare provider for an evaluation. They may perform a physical exam, order blood tests, or perform imaging tests to determine the underlying cause. Treatment options will depend on the underlying cause of the bleeding and may include medications, surgery, or other interventions.

What causes abnormal uterine bleeding

Abnormal uterine bleeding (AUB) can be caused by a variety of factors, including:

  • Hormonal Imbalances: Imbalances in estrogen and progesterone levels can cause AUB. For example, if there is too little progesterone, the lining of the uterus may not develop properly, leading to irregular or heavy bleeding.

  • Polyps and Fibroids: Uterine polyps and fibroids are growths that can develop in the uterus and cause AUB.

  • Endometrial Hyperplasia: This is a condition in which the lining of the uterus becomes too thick, leading to irregular or heavy bleeding.

  • Endometriosis: Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside of the uterus, leading to irregular or heavy bleeding.

  • Adenomyosis: This is a condition in which the lining of the uterus grows into the muscle of the uterus, leading to heavy and painful periods.

  • Infections: Infections in the reproductive system, such as pelvic inflammatory disease (PID), can cause AUB.

  • Cancer: Uterine, cervical, or ovarian cancer can cause AUB.

  • Medications: Certain medications, such as blood thinners or hormonal contraceptives, can cause AUB as a side effect.

  • Medical Conditions: Medical conditions, such as thyroid dysfunction or liver disease, can cause AUB.

If you are experiencing AUB, it is important to speak with a healthcare provider to determine the underlying cause and receive appropriate treatment.

Can uterine cysts cause bleeding

Uterine cysts, also known as ovarian cysts, typically do not cause abnormal uterine bleeding. However, in some cases, a cyst may cause bleeding if it ruptures or twists, which can lead to pain and bleeding in the pelvic region.

It's important to note that ovarian cysts are not the same as uterine fibroids or polyps, which can cause abnormal uterine bleeding. Uterine fibroids are noncancerous growths in the uterus, and uterine polyps are abnormal growths in the lining of the uterus. Both fibroids and polyps can cause irregular, heavy, or prolonged menstrual bleeding.

What are signs of abnormal bleeding

Abnormal uterine bleeding (AUB) can manifest in different ways, and some common signs and symptoms include:

  • Heavy menstrual bleeding: Bleeding that lasts longer than usual or requires you to change your tampon or pad more frequently than every two hours.

  • Irregular menstrual bleeding: Bleeding that occurs between periods, after sex, or at irregular intervals.

  • Prolonged menstrual bleeding: Bleeding that lasts longer than seven days.

  • Light menstrual bleeding: Bleeding that is lighter than usual, or spotting between periods.

  • Bleeding after menopause: Any vaginal bleeding that occurs after menopause is considered abnormal.

  • Painful menstrual periods: Severe cramping, back pain, or pelvic pain during your period.

  • Bleeding after sex: Bleeding after intercourse, especially if it is not the first time.

If you experience any of these symptoms, it is important to see a healthcare provider to determine the underlying cause and receive appropriate treatment. It's important to note that abnormal bleeding can be a symptom of a serious condition, so seeking medical attention is crucial.

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