Abnormal uterine bleeding, otherwise known as dysfunctional uterine bleeding, is when your bleeding is unusually heavy or inconsistent (bleeding during other times in your menstrual cycle). These abnormalities can cause anxiety in not knowing when you might bleed, for how long and how much. Abnormal menstrual bleeding can negatively affect the quality of life of women of all ages, making life while menstruating intolerable.

What is the difference between normal menstruation and abnormal uterine bleeding?
A normal menstrual cycle involves bleeding roughly every 28 days for a period of 3-7 days. Those with abnormal uterine bleeding may experience bleeding or spotting between periods, periods that last longer than 7 days and extremely heavy menstrual bleeding.

How can it be diagnosed?
If you experience the symptoms mentioned above or believe your menstrual cycle may not be normal, Dr. Hartell will be able to assist you. Abnormal uterine bleeding may be diagnosed when discussing the symptoms you experience during your menstrual cycle and diagnostic tests. If Dr. Hartell believes that your bleeding may be irregular, she may want to find the cause for this by doing tests, e.g. an ultrasound, endometrial biopsy, cervical evaluation and/or hysteroscopy.

What may treatment involve?
Treatment of abnormal uterine bleeding will depend on the underlying cause. Treatment will also vary as each woman is unique, and what works for one may not work for another. With her compassion for her patients, Dr. Hartell ensures an individualised approach to treatment, finding the treatment option that best suits your lifestyle.