Abnormal uterine bleeding
Symptoms, assessment, options and preparation for your visit.
Illustrative imageBleeding between periods, unusually heavy or prolonged periods and bleeding after menopause require different assessment. Bleeding should not simply be assumed to reflect hormonal change.
Symptoms and starting the conversation
When symptoms started, how often they recur and their effect on everyday life matter. The examples below are topics you can discuss; they do not establish a diagnosis on their own.
- Bleeding between periods
- Heavy or prolonged bleeding
- Bleeding after menopause
How is assessment approached?
Timing and volume, medication, possible pregnancy and ultrasound findings are discussed. The need for assessment or sampling of the uterine lining is explained according to age and findings.
Which options are discussed?
Treatment targets the cause and individual needs. Very heavy bleeding, faintness or marked weakness may require urgent assessment; bleeding after menopause should also be reported promptly.
Risks, limitations and follow-up
No method is assumed to suit everyone. If medication or a procedure is considered, assessment includes health history, possible pregnancy and current medication. Discuss potential side effects, alternatives and follow-up. Worsening or new symptoms are reasons to review the plan.
Preparing for your visit
Note when symptoms started, their triggers and their effect on your life. Bring available examination or operation reports and a medication list. Prepare questions about options, the purpose of tests, benefits and risks. Do not enter health records into appointment or contact forms.
Bleeding source and anaemia
Bleeding from the uterine lining, cervix or vagina can require different investigations. Pregnancy, medicines and bleeding-disorder history matter. Blood count, ultrasound or tissue sampling may be appropriate according to severity, age and risk.
Even light postmenopausal bleeding needs assessment. Heavy bleeding with dizziness, breathlessness or fainting needs urgent care. Treatment aims to understand the cause as well as control the bleeding.
Frequently asked questions
Can I diagnose myself using this page?
No. Similar symptoms may have different causes. This information helps you prepare for consultation; individual diagnosis and care require assessment.
Make your plan clear.
- Note when symptoms began and how often they recur.
- Ask the purpose of any investigation and how the result changes the plan.
- Clarify how results will be communicated and when follow-up is due.
Follow-up, care and return to everyday activities depend on assessment and the approach chosen. Before leaving, clarify the next step and how to contact the clinic.
Prepare your own list.
Select topics, write your notes in the fields below and download your personal preparation list as a PDF.
Your notes stay on this page; they are not sent to the clinic or saved. They are cleared when you close the page. The PDF may contain personal information; keep it on your own device.