VGH Web Sites: 
Mature Women's Centre Victoria General Hospital

Hysterectomy Alternatives Program (HAlt)

Common Diseases of the Uterus

Abnormal Uterine Bleeding

Abnormal uterine bleeding is any change in menstrual blood flow, for example, increased amount of flow, or prolonged periods (more days of bleeding), or bleeding in between periods. It is important for women who are experiencing abnormal bleeding to maintain an accurate bleeding diary. Ultrasound is often performed to look for fibroids or adenomyosis. An endometrial biopsy and pap test are always requested when abnormal menstrual bleeding occurs. Once a diagnosis is made, then the different treatment options can be discussed.

It is possible that no physical cause (fibroids, polyps or adenomyosis) of the abnormal bleeding is found. Some women experience anovulatory dysfunctional bleeding. This means that bleeding is happening without normal ovulation. This is quite common in the peri-menopausal transition and is not worrisome if all of the appropriate tests have been conducted.