Abnormal Uterine Bleeding: Demystifying Irregular Periods

Abnormal Uterine Bleeding

We know that, it is an Irregular Periods. Medically it is known as menorrhagia. Today I will discuss about Abnormal Uterine Bleeding. Many women experience irregular periods throughout their lives. While occasional variations are normal, persistent or heavy bleeding outside your expected cycle can be concerning. It affects millions of women and can significantly impact their quality of life.

This blog post aims to shed light on AUB, exploring its causes, symptoms, diagnosis, and treatment options.

What Are Irregular Periods?

Firstly, I want to say that what are the Irregular Periods? We know, Irregular periods are menstrual cycles that vary significantly from the typical 21 to 35-day cycle. Variations can include changes in cycle length, flow amount, or duration.

Understanding Your Cycle:

A healthy menstrual cycle is a complex interplay between hormones. During the first half of your cycle, estrogen thickens the lining in preparation for a potential pregnancy. If fertilization doesn’t occur, progesterone levels drop, triggering the shedding of the lining – your period.

Types of abnormal uterine bleeding

Next come to the point of Types of abnormal uterine bleeding.

Abnormal uterine bleeding (AUB) can be-

Heavy bleeding (menorrhagia).

Bleeding after menopause (postmenopausal bleeding).

Irregular periods (polymenorrhea or oligomenorrhea).

There are two main categories of causes of abnormal uterine bleeding: hormonal imbalances and structural problems in the uterus.

Hormonal imbalances may be-

Ovulation dysfunction.

Polycystic ovary syndrome (PCOS).

Thyroid problems.

Certain medications.

Structural problems may be-

Uterine fibroids.

Uterine polyps.


Endometrial hyperplasia.

Endometrial cancer

Causes of abnormal uterine bleeding

Then I will discuss about the causes of abnormal uterine bleeding. We know that, many factors are in abnormal uterine bleeding. There are many possible causes of abnormal uterine bleeding, including hormonal imbalances, uterine fibroids, endometriosis, and cancer.

Those factors are plays a significant role in abnormal uterine bleeding. Abnormal uterine bleeding can arise from various factors disrupting the hormonal balance or affecting the uterine lining. Here are some common culprits:

Hormonal Imbalances.

Uterine Fibroids and Polyps.



Birth Control Methods.



Other Medical Conditions.

Symptoms of abnormal uterine bleeding:

AUB can manifest in various ways.  Symptoms of abnormal uterine bleeding are-

Bleeding between periods (spotting).

Periods lasting longer than 7 days.

Heavy bleeding, soaking through pads or tampons more frequently than hourly.

Passing large blood clots during your period.

Vaginal bleeding after menopause.

Pelvic pain during or between periods.

How long does abnormal uterine bleeding last?

Abnormal uterine bleeding can last anywhere from a few days to several weeks such as-

Menorrhagia: This is characterized by heavy bleeding that lasts longer than 7 days.

Metrorrhagia: This refers to bleeding between periods.

Polymenorrhea: This is when you have periods more frequently than every 24 days.

Oligomenorrhea: This is when you have periods less frequently than every 35 days.

ICD-10 code for abnormal uterine bleeding

This code is used when a woman is experiencing vaginal bleeding that is outside of her normal menstrual cycle, and the cause of the bleeding is unknown.

If you are experiencing abnormal uterine bleeding, it is important to see a doctor to determine the cause and get treatment.

Abnormal uterine bleeding FIGO

The International Federation of Gynecology and Obstetrics (FIGO) has developed two systems to classify abnormal uterine bleeding (AUB):

FIGO System 1 categorizes the bleeding pattern based on four characteristics:




Flow volume.

FIGO System 2 (PALM-COEIN system) classifies the underlying causes of AUB using an acronym:




Leiomyoma (fibroids).




Ovulatory dysfunction.



FIGO classification helps doctors diagnose the cause of abnormal uterine bleeding and recommend appropriate treatment.

Diagnosing Irregular Periods

If you experience irregular periods, it’s essential to consult a healthcare provider. Diagnosis may involve:

Medical History Review.

Physical Examination.

Blood Tests.


Endometrial Biopsy.

Addressing abnormal uterine bleeding: Tailored Treatment Options

After that I can discuss the treatment of abnormal uterine bleeding. Let’s go discuss about treatment of it. The treatment approach for AUB depends on the underlying cause and your individual needs. Here are some common approaches:

Hormonal Therapy:

Hormonal birth control pills, patches, or intrauterine devices (IUDs) can regulate hormone levels and control bleeding.


Non-hormonal medications like ibuprofen or tranexamic acid can help manage heavy bleeding.

Minimally Invasive Procedures:

Procedures like endometrial ablation or myomectomy (removal of fibroids) can be performed to address specific causes like an abnormally thick lining or fibroids.


In some cases, more extensive surgery like hysterectomy (removal of the uterus) may be considered, particularly if other options are not effective or if cancer is a concern.

Living with abnormal uterine bleeding

While AUB can be frustrating, it’s important to remember you’re not alone. Here are some tips to manage your wellbeing:

Maintain a Healthy Lifestyle:

Eating a balanced diet, exercising regularly, and getting enough sleep can help regulate hormones and improve overall health.

Stress Management:

Techniques like yoga, meditation, or deep breathing can help manage stress, which can indirectly impact your cycle.

Track Your Cycle:

Keeping a menstrual calendar can help you monitor your bleeding patterns and identify any irregularities.

Open Communication:

Talking openly with your doctor about your concerns and treatment options is crucial for making informed decisions.

Preventive Measures

While some causes of irregular periods cannot be prevented, maintaining a healthy lifestyle can reduce the risk:

Balanced diet rich in nutrients.

Regular physical activity.

Stress management techniques.

Regular medical check-ups to monitor overall health.


Finally, we can say it is very challenging issue in the world. If we can follow above this instruction then it will reduce. Irregular periods are a common issue with many possible causes. Understanding your menstrual cycle and recognizing changes can help you seek timely medical advice and treatment. If you experience irregularities, don’t hesitate to consult a healthcare provider to determine the underlying cause and appropriate treatment.

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