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Abnormal cervical bleeding

Abnormal cervical bleeding

Abnormal uterine bleeding means that a woman experiences excessive bleeding during or between menstrual cycles.


The following cases of bleeding are considered abnormal:

  • Any bleeding lasting more than 7 days and / or more than 80 ml is an abnormal uterine bleeding.
  • Stru cycles that occur in less than 21 days or longer than 35 days are also considered abnormal.
  • Bleeding occurs between periods
  • Bleeding after intercourse
  • Bleeding after menopause

The main cause of abnormal uterine bleeding is a hormonal imbalance. The following medical conditions can cause abnormal uterine bleeding:

PCOS: PCOS is caused by the ovaries overproducing male hormones and causing hormonal imbalances in the body. PCOS can include facial hair growth, baldness, acne, irregular periods and heavy bleeding.

Endometriosis: Endometriosis is the development of the lining of the uterus like any other site in the ovaries or abdomen outside the uterus. Endometriosis causes excessive bleeding during the menstrual cycle.

Cervical Polyps and Fibroids: Polyps and fibroids are small growths that occur in the cervix. The cause of polyps or fibroids is not known for sure but the growth is affected by estrogen. Polyps and fibroids can cause droplets and / or excessive bleeding.

Sexually Transmitted Infections: Sexually transmitted diseases such as gonorrhea and chlamydia cause abnormal cervical bleeding. This bleeding increases after intercourse when the lesions are induced.

Medications: Some medications, such as anticoagulants, can also cause abnormal uterine bleeding.

Due to abnormal uterine bleeding, the woman may develop anemia and complications due to blood loss.


Diagnosis of Abnormal Cervical Bleeding:

To diagnose abnormal cervical bleeding, the health care provider conducts a detailed study on the medical history, clinical examination and investigation. Other tests performed:

  • Pelvic ultrasound
  • Complete blood count
  • Thyroid function tests
  • Endometrial biopsy
  • Cervical biopsy


Treatment of Abnormal Cervical Bleeding:

Treatment of abnormal uterine bleeding is planned taking into account factors such as age, underlying cause and need for childbirth. Some treatments for abnormal uterine bleeding can prevent a woman from becoming pregnant, but some treatment can help with pregnancy. Therefore, the need for pregnancy is assessed before starting treatment.

  • Medications: This is the first step in treatment. Most cases can be managed using hematonics, NSAIDS and hormonal pills. Small and medium fibroids can be treated with new drugs such as Ulipristol and Mifepristone. Refraction cases can be solved by adding a hormone called progesterone to the IUS (intraturine system), which works for 5 years and can be done as a p ‌ patient procedure.
  • Cervical treatment: If a woman has large fibroids or endometrial or cervical cancer, the uterus may need to be removed. Cervical surgery is the last resort and is performed only when the woman does not respond to medication. Sometimes, it is done through the cervix and such a procedure is called non-decent vaginal hysterectomy (NDVH). This can be done without scarring on the abdomen. It is costly and early ambulation is possible. Other methods of cervical surgery include abdominal or laparoscopy (TAH, LAVH, TLH).
  • Endometrial ablation: In selective cases, endometrial ablation (using a thermal balloon) and endometrial resection (TCRE) can be selected using a hysteroscope. This involves the removal of the uterine lining using heat and laser. It can completely stop your periods and make it impossible to conceive after this treatment.

Omni in Vizag is the best in their Giggles obstetrics and gynecology department. Our gynecologists have great experience in resolving all gynecological issues from puberty to menopause. The best gynecologists in Vizag are available in our department.

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