Abnormal Bleeding Specialist

When is menstrual bleeding considered abnormal?

A normal menstrual cycle lasts about 28 days but can range from 21-35 days in length, with menstrual bleeding lasting 3-5 days of each cycle. If your cycle is shorter than 21 days or longer than 35 days or your period lasts more than seven days, you’re considered to have an abnormal menstrual cycle.

Other abnormal bleeding signs and symptoms include:

• Not having a period for three cycles in a row
• Your period is much lighter or heavier than normal
• You have pain, cramping, nausea, or vomiting with your period
• You have spotting between periods, after sex, or after menopause

If you’re concerned about your menstrual cycles or abnormal bleeding, see Dr. Morrison for a consultation and exam.

What causes abnormal menstrual bleeding?

There are a variety of simple and complex causes of abnormal bleeding, all of which can be evaluated by the team. 

Common causes of abnormal bleeding include:

• Stress or lifestyle changes, like losing or gaining weight suddenly
• Birth control pills
• Uterine polyps or fibroids
• Polycystic ovary syndrome (PCOS)

Pregnancy is another cause of a missed period. If you think you might be pregnant, testing is available in the office.

How does a gynecologist diagnose the cause of abnormal bleeding?

To diagnose abnormal bleeding, Dr. Morrison begins with a consultation to understand your symptoms and what’s normal for you compared to what you’re experiencing now. He then performs a pelvic exam, checking for signs of pain and discomfort by pressing on your abdomen and completing an internal exam.

During the internal exam, he inserts a speculum into the opening of your vagina in order to look inside for signs of polyps, fibroids, or other visible abnormalities. In some cases, he performs a pelvic ultrasound when no cause is visible with an internal exam. Advanced testing options for complex cases include an MRI or CT scan, biopsy, or hysteroscopy.

How is abnormal bleeding treated?

Treatment for abnormal bleeding is determined by your diagnosis, lifestyle, and health goals, such as getting pregnant or avoiding pregnancy. Possible treatments for abnormal bleeding are:

• Medications, including hormonal birth control and Gonadotropin-releasing hormone (GnRH) agonists or antagonists
• Endometrial ablation
• Myomectomy
• Hysterectomy

Dr. Morrison and the team provide comprehensive care from your first visit through your final treatment to relieve your abnormal bleeding symptoms. Surgical procedures can be performed in the office or hospital, depending on your needs.

To schedule a visit to discuss abnormal bleeding, call the office or fill out the form now to request an appointment.