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Iatrogenic (caused by medical treatment or procedures): The most common Iatrogenic cause of abnormal bleeding relates to treatment with hormonal medications such as birth control pills, patches, rings, injections, implants, and intrauterine devices (IUDs). Hormone therapy for treatment of menopausal symptoms can also cause abnormal bleeding.
Ovarian cysts can also cause irregular periods and heavy, painful menstruation. Other hormonal imbalances: Hypothyroidism, perimenopause, and menopause can all cause fluctuations in your menstrual ...
However, if you experience additional symptoms and/or the light bleeding becomes a pattern, talk to your doctor so they can diagnose the underlying cause, says Dr. Purdie. From there, treatment ...
If there is excessive menstrual and uterine bleeding other than that caused by menstruation, menometrorrhagia (meno = prolonged, metro = time, rrhagia = excessive flow/discharge) may be diagnosed. Causes may be due to abnormal blood clotting, disruption of normal hormonal regulation of periods or disorders of the endometrial lining of the uterus.
Treatment depends on the cause, severity, and interference with quality of life. [4] Initial treatment often involve birth control pills. Tranexamic acid, danazol, hormonal intrauterine device, and painkillers are also helpful. [5] Surgery can be an effective for those whose symptoms are not well-controlled with other treatments. [6]
Treatment depends on the cause. In cases where malignancy is ruled out, hormone supplementation or the therapeutic use of hormonal contraception is usually recommended to induce bleeding on a regular schedule. Selective progesterone receptor modulators (SPRMs) are sometimes used to stop uterine bleeding. [1]
Therapy can take the form of an estrogen pill, skin patch, ring, gel, cream, or spray, and it usually includes a second hormone, progestogen, which can be either progesterone or a synthetic progestin.
Besides the aforementioned physiologic forms, IMB may also represent abnormal uterine bleeding and be a sign of an underlying disorder, such as a hormone imbalance, endometriosis, uterine fibroids, uterine cancer, or vaginal cancer. [citation needed] If the bleeding is repeated and heavy, it can cause significant iron-deficiency anemia.
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