Womens' Health Specialists assists patients with treatment for numerous reproductive health conditions such as abnormal uterine bleeding. Our knowledgeable gynecologists identify the cause of the bleeding and work with patients to provide the most effective treatments.

What is abnormal uterine bleeding?

Abnormal or irregular bleeding can occur for many women at some point during their lives. It typically takes place between menstrual cycles. Bleeding is usually seen as abnormal when it presents:

  • At an unanticipated time including prior to the age of puberty, after menopause has started, or during pregnancy

  • During a menstrual cycle but is abnormally light or very heavy

  • Between menstrual cycles or when a menstrual period is not anticipated

What causes abnormal uterine bleeding? 

Abnormal bleeding it not usually a sign of a serious condition and can have many different causes. Any bleeding, which takes place during pregnancy, should be evaluated by a physician right away as it could be a symptom of a more serious medical condition. Irregular or abnormal bleeding can be the result of:

  • Ovulation

  • Medications including oral birth control or contraceptive implants

  • An IUD or intrauterine device

  • Infection of the fallopian tubes, uterus, cervix, vagina, or ovaries.

  • Fibroids and endometriosis

  • PCOS, or polycystic ovary syndrome

  • Pelvic Inflammatory Disease (PID)

  • Hormone Imbalance

In some circumstances, extreme emotional stress and excessive strenuous activity can cause atypical bleeding and can interfere with menstrual cycles.

What should I do if I experience abnormal bleeding?

If a woman experiences irregular bleeding that causes her to lose consciousness, she should call 911 immediately. If a woman experiences severe abdominal or pelvic pain, heavy bleeding which lasts for more than two hours, if she feels lightheaded or dizzy, or as if she faints, she should contact her gynecologist right away. Women should also observe their symptoms closely and call their physician if they think they may be pregnant, the bleeding worsens or persists for longer than three days, if a fever develops, or if new pain is felt. Once the cause for the bleeding has been determined, a physician may prescribe a treatment regimen to alleviate or control the symptoms.

Service available at the following locations: Rockville, Germantown, and PG County.