Abnormal Uterine Bleeding

About 5 % of women between 30 and 49 yrs experience heavy menstrual bleeding which can be 

• Menorrhagia -regular heavy periods
• Heavy irregular bleeding
• Bleeding between cycles
• Bleeding after intercourse
• Post-menopausal bleeding

Any irregular and abnormal bleeding must be investigated promptly. careful examination of cervix, pap smear , ultrasound and hysteroscopy may be needed to make a diagnosis. Treatment depends on the cause and could include hormonal treatment (oral contraceptive pills), or the hormonal IUD (e.g. Mirena). Surgical treatment options include hysteroscopic polypectomy or myomectomy, endometrial ablation, and or hysterectomy.