Why is AUB Concerning?
Abnormal Uterine Bleeding can indicate various underlying issues, including cancer, pre-cancerous conditions, hormonal imbalances, or blood-clotting disorders. Untimely or heavy bleeding can significantly impact your quality of life and may even lead to iron deficiency anemia or pose a potential threat to your health.
Diagnosing and Understanding AUB
Evaluating and diagnosing AUB requires a thorough approach, including:
● Comprehensive History and Physical Examination: Our board-certified gynecologist conducts a detailed assessment.
● Lab Tests and Imaging Studies: In some cases, additional tests are necessary to determine the root cause.
● Specialized Expertise: Our team brings specialized knowledge to accurately diagnose and address AUB.
Defining AUB
AUB refers to menstrual flow that deviates from the normal volume, duration, regularity, or frequency. It's essential to distinguish it from bleeding originating from the cervix or vagina, a distinction easily made during a pelvic exam.
Common Causes of AUB
The causes of AUB can vary, encompassing issues within the female organ system or arising from other systems like blood clotting, thyroid, or pituitary gland malfunctions. The FIGO acronym "PALM-COEIN" helps us remember the causes:
● Polyps: Small growths in the uterine lining (endometrium).
● Adenomyosis: Uterine lining grows into the uterine muscle.
● Leiomyoma: Fibroids, fibrous knots in the uterine wall.
● Malignancy: Uterine lining cancer.
● Coagulopathy: Blood clotting system abnormalities.
● Ovulatory Dysfunction: Disorders affecting ovulation and hormone function.
● Endometrial: Primary disorders of the uterine lining (endometrium).
● Iatrogenic: Medical interventions like hormonal medications or IUDs.
● Not Yet Classified: Other causes yet to be well understood.
Taking Action for Your Health
If you're experiencing AUB, seeking medical advice is crucial. Our team will work with you to diagnose and treat the underlying cause. Depending on your situation, tests such as blood tests, ultrasounds, pap smears, or endometrial sampling may be necessary. The good news is that AUB is often benign and treatable. If you have questions or concerns about AUB, please don't hesitate to reach out and make an appointment at 215-444-3411.
