Abnormal Uterine Bleeding

Abnormal uterine bleeding can be concerning, unpredictable, and disruptive, but you don’t have to live with the uncertainty or discomfort. At Institute for Gynecology Minimally Invasive and Robotic Surgery in Englewood, New Jersey, Yitzhack Asulin, MD, FACS, FACOG, provides expert diagnosis and advanced, minimally invasive treatments to restore balance, protect your health, and give you peace of mind. Schedule a consultation today by calling or booking online to find answers and lasting relief.

What is considered abnormal uterine bleeding?

Abnormal uterine bleeding (AUB) refers to bleeding from the uterus that differs from your typical menstrual pattern. This may include:

• Heavy menstrual bleeding
• Periods lasting longer than seven days
• Bleeding between periods
• Cycles that are unusually frequent or irregular
• Bleeding after menopause
• Bleeding after sexual intercourse

Passing large blood clots, experiencing severe cramping, or noticing sudden changes in your cycle can also signal abnormal uterine bleeding. While occasional irregularities may occur due to stress or minor hormonal shifts, persistent or unexplained changes should always be evaluated by a specialist.

What causes abnormal uterine bleeding?

Abnormal uterine bleeding can stem from a variety of causes, including hormonal imbalances and structural conditions affecting the uterus. Common causes include:

• Uterine fibroids
• Endometrial polyps
• Adenomyosis
• Hormonal fluctuations related to perimenopause
• Polycystic ovary syndrome (PCOS)
• Pregnancy-related conditions
• Pelvic infections
• Side effects of certain medications

In some cases, more serious concerns such as endometrial hyperplasia or cancer may be responsible. That’s why identifying the exact cause is critical. Dr. Asulin takes a thorough and careful approach to ensure an accurate diagnosis and appropriate treatment plan.

How is abnormal uterine bleeding diagnosed?

At Institute for Gynecology Minimally Invasive and Robotic Surgery, Dr. Asulin begins with a detailed discussion of your menstrual history, symptoms, and overall health. From there, he may recommend diagnostic testing, including:

• Blood work to evaluate hormone levels or anemia
• Pregnancy testing
• STI screening if indicated
• Pelvic ultrasound to assess the uterus and ovaries
• Endometrial biopsy to evaluate the uterine lining
• Hysteroscopy to directly visualize the inside of the uterus

Advanced imaging and minimally invasive diagnostic techniques allow for precise evaluation and tailored treatment planning.

How is abnormal uterine bleeding treated?

Treatment for abnormal uterine bleeding depends on the underlying cause, the severity of symptoms, and your reproductive goals. Once a diagnosis is confirmed, Dr. Asulin will discuss options that may include:

• Hormonal therapy to regulate cycles and reduce bleeding
• Medications to manage heavy flow
• Minimally invasive procedures to remove polyps or fibroids
• Endometrial ablation to reduce heavy bleeding
• Robotic or laparoscopic surgery when structural issues require correction

Dr. Asulin specializes in advanced minimally invasive and robotic techniques that help reduce recovery time, minimize discomfort, and preserve reproductive health whenever possible.

If you’re experiencing heavy, irregular, or postmenopausal bleeding, don’t delay evaluation. Early diagnosis leads to better outcomes and peace of mind. Contact the Institute for Gynecology Minimally Invasive and Robotic Surgery by phone or online.