Abnormal Uterine Bleeding - Exams and Tests

Your doctor looks for a number of possible causes of your bleeding.

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 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:


Early detection

Endometrial cancer risk increases with age. Also known as uterine cancer, it is most common in women over age 50, after menopause. But endometrial cancer can also develop earlier, during perimenopause or in women who have had abnormal bleeding for many years.

  • If you have heavy or unusual vaginal bleeding after menopause, your doctor will do tests, usually either ultrasound or endometrial biopsy, to look for cancerous cell changes.
  • If you are perimenopausal, have not responded to other treatment for uterine bleeding, or have things that increase your risk for endometrial cancer, your doctor may recommend an endometrial biopsy.
WebMD Medical Reference from Healthwise
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