What’s Considered Abnormal Bleeding?
Abnormal vaginal bleeding is a lot more common than you might think, but that doesn’t mean it’s OK to ignore it. Whether you have abnormally heavy or light periods, unusually long or short periods, or you skip your periods entirely, it could be a sign of a serious underlying medical problem.
Early treatment is the best way to prevent more serious problems associated with abnormal bleeding. But how can you tell if what you’re experiencing is really abnormal and not just a temporary change in your usual monthly schedule?
At his practice in Newburgh, Indiana, which serves the Evansville area, experienced obstetrician and gynecologist Paul W. Morrison, M.D., often deals with cases of abnormal bleeding. In this blog, he explains what constitutes abnormal bleeding, what can cause it, and some of the treatment options that are available.
Normal vs. abnormal vaginal bleeding
Periods are a natural part of the menstrual cycle. During your cycle, your body releases hormones that cause the uterine lining to thicken in preparation for pregnancy (egg implantation).
If pregnancy doesn’t happen, those hormone levels decline, triggering menstruation. Now, your body sheds the thickened uterine lining, causing vaginal bleeding (your period).
Normal vaginal bleeding
Most women of child-bearing age have monthly periods, and on average, those periods last about 3-5 days. Typically, a period happens once every 28 days, but the total cycle can vary from 21-35 days. Generally, bleeding that meets these parameters falls within normal ranges.
Abnormal vaginal bleeding
An abnormal period is a period that deviates from those averages, or a period that’s heavier or lighter than usual. Specifically, abnormal bleeding includes:
- Periods that last longer than eight days
- More than 35 days between periods
- Less than 21 days between periods
- Bleeding in between periods
- Bleeding after menopause
- Light bleeding or spotting after intercourse
- Very heavy periods
- Very light periods
- Missing three or more periods in a row
Some women with abnormal bleeding have nausea, vomiting, or severe cramps, as well.
Furthermore, many women experience menorrhagia, which is a type of heavy menstrual bleeding that happens a lot during perimenopause. Perimenopause is the time before your period stops. Women with menorrhagia:
- Soak through pads very quickly
- Find that bleeding is too heavy for tampon use
- Need to wear more than one pad
- Wake in the night to change pads
- Pass clots as well as blood
In addition to interfering with your sleep and your normal daily activities, menorrhagia can lead to anemia and other health problems.
Diagnosing and treating abnormal bleeding
Lots of issues can cause abnormal bleeding, including:
- Your birth control method
- Polycystic ovary syndrome (PCOS)
- Hormone fluctuations, including those associated with menopause
- Uterine fibroids
- Endometriosis
- Pregnancy
- Tumors
Even stress, significant changes in weight, or strenuous physical exertion can cause changes in your menstrual cycle.
Diagnosis begins with a review of your symptoms and your personal and family health histories, followed by a pelvic exam. Depending on your symptoms and other factors, Dr. Morrison might recommend an MRI, ultrasound, CT scan, or a hysteroscopy to get a clearer look at what’s going on inside your body.
Your treatment will depend on what’s causing your abnormal bleeding. Dr. Morrison is skilled in multiple treatment options, including:
- Medications, including hormonal medications
- Switching your contraceptive method
- Endometrial ablation to treat the uterine lining
- Myomectomy to remove fibroids
- Hysterectomy to remove the uterus and sometimes the ovaries
- Minimally invasive treatments for polyps or endometriosis
Dr. Morrison customizes every treatment plan to ensure each woman gets the care she needs to relieve her symptoms and improve her overall health and wellness.
Get treatment for abnormal bleeding
Abnormal bleeding is your body’s way of telling you that something’s not right, and it should never be ignored. Early evaluation is essential for preventing more serious complications. To learn what’s causing your abnormal bleeding and to find out how it can be treated, call 812-490-5200 or book an appointment online with the practice of Paul W. Morrison, M.D., today.