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Patients who are suffering from dysfunctional uterine bleeding will bleed during a variety of activities. These women may bleed in between periods, similar to spotting but with a more erratic flow throughout the menstrual cycle. Women who experience vaginal bleeding after they had intercourse may be a candidate for AUB treatment. If a woman is post-menopausal and she’s experiencing bleeding from her vagina this is considered abnormal uterine bleeding. Excessive bleeding during menstruation is also a sign for alarm and is a possible indicator of dysfunctional uterine bleeding.
A healthcare provider, most typically a gynecologist or OB-GYN, have a wide range of tests they can conduct to test for abnormal uterine bleeding. To determine which tests are best suited for an individual patient, the doctor will do an initial examination to find out what symptoms the patient has regarding vaginal bleeding. From there they may do tests in their office to diagnose abnormal uterine bleeding, or they may send the patient to the surgical center or hospital for testing. In the doctor’s office, a sonohysterography using ultrasound machinery allows the doctor to look fluid placed inside the uterus. Ultrasound imagery can help a doctor make a diagnosis for vaginal bleeding. A lab is required to complete magnetic resonance imaging, similar to X-rays, of the uterus. As for surgery, this ranges from hysteroscopy to endometrial biopsy and is best reserved for patients with severe abnormal bleeding in the vagina.
Several sources of vaginal bleeding can occur including polyps, fibroids, pregnancy, miscarriage, and ectopic pregnancy. If the patient has an infection in the uterus or cervix, this can lead to abnormal uterine bleeding, as can cancer of the vagina, uterus or cervix.
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