This is any vaginal bleeding that is different from a normal menstrual pattern, such as bleeding or spotting after menopause.
The normal female reproductive system has two ovaries, two fallopian tubes and a uterus (womb).
The endometrium is the tissue that lines the uterus. It is shed from the female body every month during menstruation.
There are multiple causes of abnormal uterine bleeding. These causes include:
Some causes of abnormal uterine bleeding can be serious. If a specific cause is not found, abnormal uterine bleeding is generally thought to be due to hormonal factors. Contact your healthcare provider if you have vaginal bleeding that is different from your normal menstrual flow or occurs after menopause. Your provider will ask about your symptoms and do a physical exam, which will include an examination of your pelvic area (internal exam). They may also order:
Your healthcare provider may recommend a uterine biopsy to help determine the cause of your abnormal uterine bleeding. During this procedure, a sample of the endometrium is removed to check for abnormal, or cancerous, cells. If a uterine biopsy is recommended, prior to the procedure tell your healthcare provider about any medications you are taking (including over-the-counter medications and supplements). You should also ask about specific instructions to follow before and after the procedure. These include:
To make the procedure more comfortable:
This care path includes the cost of 2 office visits, an ultrasound, and a uterine biopsy performed in the healthcare provider's office.
Make an appointment with your healthcare provider if you have abnormal uterine bleeding.Be prepared to discuss your symptoms and how long you have had them.
What should I ask my healthcare provider before having a uterine biopsy?
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