This includes heavy bleeding and irregular periods. Spotting, cycles that are closer than three weeks apart can occur. Prior to menopause or following menopause abnormal bleeding can be a problem. Some of the causes are:

  • Smoking
  • Obesity
  • Chlamydia infection
  • Pregnancy
  • Incorrect use of birth control pills
  • Fibroids
  • Polyps
  • Malignancy
  • Endometriosis
  • Adenomyosis
  • Clotting factor deficiencies
  • Thyroid dysfunction
  • Kidney disease
  • Hormonal factors

Treatment depends on the identified cause of abnormal bleeding. Most commonly medical management is effective. In some situations D & C (dilatation and curettage) or polyp removal is needed. Endometrial Ablation, Myomectomy, Uterine Artery Embolization and Hysterectomy are some of the surgical procedures.