Raj K. Syal, M.D., F.A.C.O.G.    |    Jenna A. Everson, M.D., F.A.C.O.G.    |    Holly Westmoreland, M.D., F.A.C.O.G.    |    Kellyn Rielly D.O.   

Symptoms of Abnormal Bleeding

Normal cycles vary over one’s lifetime and between one woman and the next. A regular menstrual cycle occurs every 28 days, and shedding of the uterine lining averages five to seven days in length (5-7 days).

For women who experience bleeding more often, or whose menstrual flow lasts longer than this, we consider this to be abnormal bleeding.

Bleeding may become lighter, heavier, shorter, longer, absent or more frequent. Variations which continue could be reason for concern. For instance, bleeding after intercourse or between periods would be considered abnormal bleeding and should be discussed with your doctor.

These symptoms can tell us that there may be a health problem, and in these instances, scheduling an immediate appointment is the best recommendation:

  • Absence of menstrual cycles
  • Bleeding prior to menopause or spotting
  • Bleeding after intercourse
  • Bleeding after menopause
  • A change in your normal cycle

 It will be important for you to be able to share specific dates of abnormal bleeding, so please bring this information with you to your appointment. Your doctor will begin to identify patterns and possible causes and appropriate treatments for you.

Common causes of abnormal bleeding that your doctor will be assessing include:

  • Hormone imbalances
  • Problems with birth control
  • Pregnancy
  • Infection or other problems of the uterus or cervix
  • Uterine polyps or fibroids
  • Problems with blood clotting

In order to identify problems and appropriate treatment, diagnostic tests may be needed. We will work with you to provide the best treatment possible, and to educate you throughout the process. Diagnostic tests may include blood tests, pelvic ultrasounds, an endometrial biopsy, hysteroscopy, D&C, or laparoscopy.

Treatment Options

In-office treatments for abnormal bleeding are available. Novasure® and HTA ablation can both be performed in the office with minimal down time. Should the need arise for surgical treatment, you can rest assured that you are in good hands. Some of the surgeries we perform are:

Should you like to read further:

Our Surgical Services pages provide more details regarding surgical procedures. You may also wish to visit the American College of Obstetrics and Gynecology website, as well as other trustworthy educational websites listed on our obstetrics and gynecology links and topics of interest page.