Metrorrhagia, also known as abnormal bleeding, is defined as bleeding in women that occurs between menstrual periods not associated with menstruation.This results in light to heavy bleeding that may or may not be accompanied by menstrual cramps.
Causes of Abnormal Bleeding
There are various causes of abnormal bleeding. They may include the following:
- Hormonal imbalance
- Abnormal growths
- Cervical cancer
- Uterine cancer
- Types of birth control
Certain chronic medical conditions, such as thyroid disorders and diabetes can also cause abnormal bleeding.
Diagnosis of Abnormal Bleeding
To diagnose the cause of this condition, the doctor will evaluate the patient's medical history, including the frequency and length of menstrual periods. Additional tests to examine blood and the uterus may include:
- Blood tests
- Endometrial biopsy
Treatment of Abnormal Bleeding
Treatment for abnormal bleeding varies and depends on the cause of the condition, but may include:
- Hormone supplements
- Antibiotics to treat infection
- Removal of an intrauterine device
- Birth control pills
- Non-steroidal anti-inflammatory medication
Surgery may be necessary to remove growths such as polyps or fibroids that can cause bleeding. Other types of surgery may include:
Endometrial ablation is a procedure that may be performed to destroy the lining of the uterus to minimize or stop bleeding.
In severe cases, a hysterectomy may be recommended. This is a surgical procedure that removes the entire uterus. A hysterectomy requires a hospital stay and involves a long recovery.
Abnormal bleeding should be treated based on underlying causes and the patient's individual condition. Metrorrhagia caused by a miscarriage requires prompt medical attention to prevent serious complications.