Abnormal Uterine Bleeding

Abnormal uterine bleeding (AUB) is a common gynecologic disorder referring to abnormal quantity, timing, or duration of menstrual bleeding. The most common causes of AUBV in a non-pregnant woman are structural abnormalities (fibroids, polyps, adenomyosis), anovulation, and bleeding disorders. Certain medications, especially hormonal preparations, may also result in atypical bleeding patterns. Additionally, certain cancers can predispose a woman to irregular bleeding.

The evaluation of AUB involves a detailed history and physical exam. Typically, laboratory testing and imaging studies are also performed. Occasionally, a biopsy of tissue is obtained in order to discern if a neoplastic condition may be present.

Depending on the cause of abnormal bleeding, your clinician may recommend various therapies. Often, if a structural abnormality is diagnosed, AUB can be ameliorated via surgical correction of the underlying defect. Hormonal regulation of the menstrual cycle is frequently the first line treatment if an ovulatory dysfunction is diagnosed. Medical or surgical therapy can be used for neoplastic conditions.

  • detailed one on one consultation with a reproductive endocrinologist
  • laboratory testing for bleeding disorders related to AUB
  • state of the art imaging modalities such as pelvic ultrasound, sonohysterogram, and pelvic MRI
  • hormonal therapy for menstrual regulation
  • advanced procedures including minimally invasive and robotic surgery for correction of anatomic abnormalitites related to AUB

The physicians at Yale pride themselves in providing evidence-based treatments for abnormal uterine bleeding and are committed to ongoing research into this disorder.