Abnormal Uterine Bleeding

Abnormal menstruation, deviating from the regular menstrual cycle, can be indicative of diseases affecting the women’s reproductive system.

What is Abnormal Uterine Bleeding?

If you experience unusually heavy periods with blood clots, it’s important not to dismiss them as normal. Many women overlook heavy menstrual flow until they develop iron deficiency anemia. Please make an appointment with your clinic doctor if your period is abnormal. This may indicate the need for a Dilation and Curettage (DD&C) procedure, which involves surgically dilating the cervix to scrape the uterine lining with a curette, removing abnormal tissues.

What You Should Know About Abnormal Uterine Bleeding

Diagnosis, Treatment & Surveillance Service

  • Full gynae assessment and examination
  • Vaginoscopy and pap smear
  • Pelvis Ultrasound (trans-Abdomen/Trans vaginal)
  • Office Endometrial sampling
  • Hysteroscopy and DD&C
  • Menses modification (to go to Umrah or Haj)
  • Menses regulation and control (for dysfunctional uterine bleeding)

Abnormal menstruation is simply means the menstruation that does not follow the order or normal menstrual cycle and may spell a symptom of disease affecting women’s reproductive system. There are many conditions of abnormal menstruation and it is often referred to using specific medical term as per following:

Menorrhagia – heavy menstrual bleeding every month. If it is not corrected it commonly cause chronic iron deficiency anaemia in women

Dysmenorrhoea – severe menstrual pain just before the menstrual begin and usually subsided one or two days after. Most of the time it is physiological but it is often associated with endometriosis and other uterine pathology

Polymenorrhoea – frequent period of more than once a month.

Oligomenorrhoea – scanty period or infrequent period of less than 6 times per year. This is one of the common symptom of polycystic ovarian syndrome in women.

Menometorrhagia haemorhagica – erratic menstrual bleeding and usually very heavy with blood clots and flooding.

Menstrual Calender
It is indeed a good habit to keep record on detail of your period every month on a calendar. Pay attention on the date when the period starts, the pain ─ how severe and how long it last, and the menstrual flow─how heavy it is. Keeping menstrual calendar helps early detection of menstrual abnormality and helps you with pregnancy planning.

Contact your doctor if:

  • You have not started menstruating by the age of 16
  • You are bleeding between period
  • You are bleeding for more days than usual
  • You are bleeding more heavily than usual
  • You have severe pain during your period
  • You have bleeding after sex
  • You are bleeding after menopause
  • Your period interval is more than 35 days or shorter than 21 days
  • You think you might be pregnant
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