Abnormal Uterine Bleeding - Treatment Overview
It's important to let your doctor know if you have abnormal uterine bleeding. There are many ways to help treat it. Bleeding can usually be
managed with medicine to reduce bleeding and/or hormone therapy to either stop
or regulate menstrual periods. Surgical treatment is reserved for bleeding that
can't be controlled with medicine or hormone therapy.
Acute, severe uterine bleeding
bleeding is usually treated on an emergency basis with a short course of
estrogen therapy. If that isn't effective in rare
dilation and curettage (D&C) may be done to clear
the uterus of tissue. When needed, a
blood transfusion is used to quickly restore needed
If you are treated for severe uterine bleeding, you
and your doctor can then choose a treatment that is safe for the
Ongoing uterine bleeding
Your age, the cause of
your condition, and any future plans for pregnancy will impact the treatment
choices available to you.
- If you are a teen, you
can expect your periods to become more regular as your body matures. You may
choose to wait and see if your periods become more regular. If you need
treatment, your doctor may prescribe
birth control pills to regulate your cycle.
- If you are not ovulating regularly, it's difficult to predict how long your abnormal bleeding will last until you stop having periods completely (menopause). If you need treatment, your doctor may
give you hormone therapy (such as birth control pills or a hormonal IUD) to regulate your
cycle. If you have no future childbearing plans and have severe symptoms, you
can opt for surgical treatment to remove your uterus (hysterectomy)
or to destroy the uterine lining (endometrial ablation).
- If you are ovulating regularly, have
abnormal bleeding, and plan to become pregnant in the future, talk to
your doctor about your treatment options. Depending on the cause of your bleeding, he or she may recommend treatments such as progestin or birth control pills or a hysteroscopy to remove polyps or fibroids. If you have no future pregnancy plans, you can consider endometrial ablation or
hysterectomy if other treatment doesn't help.