Vaginal Bleeding Treatment Specialist Q&A

Vaginal Bleeding Treatment Specialist Q&A

Vaginal bleeding may be a symptom due to menstruation, or it could be from other common symptoms in relation to your menstrual cycle, pregnancy, miscarriage, pre-cancer, as well as other common disorders. Contact Minit Medical Urgent Care today to speak to a physician about your vaginal bleeding or book an appointment. We have convenient locations to serve you in Kahului HI, Kihei HI, and Lahaina HI.

Vaginal Bleeding Treatment Specialist Near Me in Kahului HI, Kihei HI, and Lahaina HI
Vaginal Bleeding Treatment Specialist Near Me in Kahului HI, Kihei HI, and Lahaina HI

Table of Contents:

What is abnormal vaginal bleeding?
What causes vaginal bleeding other than periods?
What are the treatments for vaginal bleeding?

What is abnormal vaginal bleeding?


Abnormal vaginal bleeding occurs from the uterus and was formerly known as menometrorrhagia. This is when females begin to bleed between their monthly periods or when the periods are extremely heavy and/or prolonged. The normal menstrual flow will typically last on average of 5 days and will occur every 21 to 35 days depending on your cycle.

Your primary provider should be informed of any abnormal bleeding you are experiencing. The cause of your bleeding could be harmless or as severe as a sign of cancer or conditions that can negatively be impacting your fertility success.

Vaginal bleeding outside of your normal monthly period will often fall under two umbrella terms, these conditions sound the same, but they are different, they are:

– Menorrhagia (now known as heavy menstrual bleeding)
Prolonged and/or excessive menstruation

– Metrorrhagia (now known as abnormal uterine bleeding)
Prolonged, excessive, and/or irregular bleeding which is unrelated to menstruation

The new names have changed so there was less confusion between the two. Abnormal uterine bleeding is bleeding which occurs in non-pregnant females within their reproductive years. However, this doesn’t mean that irregular bleeding cannot affect you if you are pregnant or post-menopausal.

If you do experience bleeding and you have already gone through menopause, it is best to speak to a doctor. Bleeding after menopause is not normal, even if the blood looks pink, red, brown, or even a rust-like color.

If you begin bleeding during pregnancy, even spotting, it is best to speak to a doctor, as some cases can be harmless, while others may require medical attention, particularly if your bleeding occurs later in your pregnancy.

What causes vaginal bleeding other than periods?


There are signs and symptoms you should be aware of when it comes to abnormal vaginal bleeding, some of these may include:

– Heavy menstrual bleeding
– Bleeding occurring at a usual time, either after intercourse, or between periods
– Unusually long periods that last 7 days or longer
– Inconsistent menstrual cycles

Abnormal vaginal bleeding has many different causes, including a few medical conditions and even stress:

Hormone imbalances
– Anovulation
– Thyroid disease
– Polycystic ovary syndrome

Structural abnormalities within the uterus
– Polyps
– Fibroids
– Adenomyosis

Precancer, or cancer
– Uterine cancer
– Cervical cancer
– Vaginal cancer
– Ovarian cancer
– Endometrial hyperplasia

Infections
– Trichomoniasis
– Cervicitis
– Chlamydia
– Gonorrhea
– Endometritis
– Vaginitis

Other medical conditions
– Von Willebrand disease
– Liver disease
– Kidney disease
– Pelvic inflammatory disease
– Leukemia

Medications
– Blood thinners
– Hormone replacement therapy
– Tamoxifen
– Intrauterine devices
– Birth control injectables or pills

Trauma and retained foreign bodies

If you forget to remove an IUD, it can lead to infection, and then cause abnormal bleeding. Trauma like this to the uterus can cause injuries, and also bleeding.

What are the treatments for vaginal bleeding?


Before treating vaginal bleeding, a diagnosis must be completed. A physician will ask you several questions in regards to your abnormal vaginal bleeding in order to properly diagnose it, some of these questions will include:

– What have you noticed brings on the bleeding?
– What symptoms have you experienced?
– Are you pregnant?

A physical exam will be completed in order to help with the diagnosis, which may include a pelvic exam, a pap smear, and/or a cervical exam.
A few tests may also be recommended depending on the results they find from the consultation appointment concerning abnormal vaginal bleeding. These tests may include:

Pregnancy test
Pregnancy tests will be recommended in case a miscarriage is occurring and is causing heavy bleeding. If you previously tested positive on a pregnancy test, it can last for up to 35 days after a miscarriage occurs, while light bleeding is a common sign of the early stages of pregnancy.

Blood work
Blood work may be recommended in order to complete a blood count and check on blood clots.

Thyroid test
Issues with your thyroid function can be a sign that there is an issue with your ovary function and that can cause vaginal bleeding.

Hormone level tests
Hormone level tests may be recommended to review for any hormonal imbalances that can be causing abnormal bleeding, which can be a sign of a condition that is causing the bleeding.

Hysteroscopic exams
Hysteroscopic exams are done to check for polyps, fibroids, or signs of cancer.

Pelvic ultrasound
Your physician may recommend a pelvic ultrasound to check for any growths in your reproductive organs that can cause bleeding. A sonohysterogram, which is also known as saline-infusion sonography, is a highly sensitive imaging procedure that can help the physician identify any abnormal structures within the uterus, including fibroids, or polyps.

Biopsy of the endometrium
The physician or lab technician will collect tissue samples from the uterus lining and check for signs of pre-cancer or cancerous cells.
After all of the testing has been completed, and a diagnosis has been provided, treatment will be given depending on the diagnosis including:

Medications
– Birth control
– Non-steroidal anti-inflammatory drugs
– Gonadotropin-releasing hormone agonists
– Gonadotropin-releasing hormone antagonists

Surgery
– Hysteroscopy
– Uterine artery embolization
– Myomectomy
– Endometrial ablation
– Hysterectomy

For more information, please call us or book an appointment. We serve patients from Lahaina HI, Kahului HI, Kihei HI, Launiupoko HI, Olowalu Hi, Wailuku HI, Kula HI, Makawao HI, Paia HI, Wailea HI, Haiku HI and Waihee-Waiehu HI.

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