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Exams and Tests

    Your doctor must first rule out all other medical causes of vaginal bleeding before diagnosing abnormal uterine bleeding (AUB).

    First tests

    First, your doctor will:

    • Review your history of symptoms and menstrual periods. (If possible, bring with you a record of the days you had your period, how heavy or light the flow was, and how you felt each day.)
    • Conduct a routine pelvic exam.
    • Find out whether you are ovulating regularly. This is done using one or more of the following:
      • A daily record of your symptoms (menstrual calendar)
      • A daily basal body temperature chart, if you have been keeping track at home. This charts your at-rest temperature.
      • A progesterone test, because low levels during the third week of a menstrual cycle suggest an ovulation problem
      • An endometrial biopsy for perimenopausal women, because abnormal endometrial tissue is common in this age group. The endometrial tissue is the lining of the uterus.

    Other tests

    If your symptoms are severe, your doctor suspects a serious medical problem, or you are considering a certain treatment, you may also have one or more other tests, such as:

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