At a certain age all uterine bleeding is considered to be abnormal uterine bleeding. Nonetheless we could also be talking about dysfunctional uterine bleeding that is usually treated by medication or hormone therapy that stops or regulates the bleeding. Also there is the option of surgical treatment.
Severe and acute uterine bleeding that is abnormal
In the majority of the cases this problem is treated on an emergency basis for a short period of time, using estrogen therapy. There are some cases when this therapy isn’t effective, and in this case the specialists are using D&C to clean the uterus from tissues that aren’t necessary at the moment.
If we are referring to a uterine bleeding that is abnormal it is possible that the patient has lost a lot of blood, and because of this she might need blood transfusion.
On the long run your doctor will most probably choose a treatment method that can be used on long term and doesn’t come with many side effects.
Ongoing abnormal uterine bleeding
There are different factors that influence the kind of treatment that your doctor would suggest, such as your age, plans of having children or the cause of the problem.
Teenagers
In case of teenagers, regarding uterine bleeding that is abnormal you should know that the menstrual periods will become regulated after a while. This is why a lot of teenagers wait to see whether these changes occur. If the patient requires treatment, most probably birth control pills or progestin will be used.
Irregular ovulation
If this is your case regarding abnormal uterine bleeding, it is very difficult to predict how long the condition will continue until you enter menopause. In this case the treatment consists of hormone therapy to make your cycle regular.
In case you aren’t planning on having children and if the symptoms are severe, you have the option to have your uterus surgically removed.
Regular ovulation
Uterine bleeding that is abnormal could occur even in case you are ovulating regularly. If you would like to have children in the future, you should talk to your doctor about the possibilities that you have. It is possible that you will have to take birth control pills or progestin to regulate the bleeding.
If you don’t want to have children in the future, and in case the other treatments aren’t effective, you could consider, as a drastic measure regarding abnormal uterine bleeding, having a hysterectomy, meaning the surgical removal of the uterus or the destruction of the lining of the uterus, known as endometrial ablation.
GnRH-As
This is a kind of treatment for uterine bleeding that is abnormal is very rarely used in our days. These drugs are working by reducing the production of estrogen so that your body would think that you have entered menopause. As long as you are taking the medication, you won’t have any periods.
Still you should know that after you stop taking the medication, the abnormal uterine bleeding will return if you aren’t close to menopause yet.
