Abnormal Uterine Bleeding Specialist

North Fulton OB-GYN

Lisa Vinokur, MD, FACOG

Board Certified Obstetrics & Gynecology located in Alpharetta, GA

If you experience heavy or irregular bleeding during your period or spotting mid-cycle, it could be the result of a common and highly treatable medical condition. Lisa Vinokur, MD, of North Fulton OB-GYN in Alpharetta, Georgia, is an expert in diagnosing and treating abnormal uterine bleeding. She takes a thorough and individualized assessment of your symptoms before recommending further testing or a course for treatment. If you’re worried about any aspect of your menstrual cycle, make an appointment to see Dr. Vinokur by calling North Fulton OB-GYN today, or booking online.

Abnormal Uterine Bleeding Q & A

What is abnormal uterine bleeding?

The definition of abnormal uterine bleeding isn’t precise, because every woman’s cycle varies. However, there are average ranges that indicate normal menstruation, and your period shouldn’t be disrupting your life to the extent that you have to take time off work or school.

Dr. Vinokur assesses your condition by looking at:

  • How frequently you get a period - Your cycle should be pretty regular, not changing by more than a week, and with more than three weeks but less than five weeks between periods.
  • How long your period lasts - Four to five days is about average. A period shouldn’t last less than two days or more than a week.
  • How much blood you’re losing during a period - The average amount of blood lost during a period is around two tablespoons, with more than five indicating an excessively heavy flow. It can help Dr. Vinokur to judge how much you’re losing if you know how often you soak through a pad or tampon.

It’s helpful to keep track of your last several periods to offer Dr. Vinokur a better idea of your average symptoms and how long you’ve been experiencing them.

What causes abnormal uterine bleeding?

There are several reasons you may be experiencing abnormal uterine bleeding, most of which are related to your hormones. The fertility hormones estrogen and progesterone control your ovulation and menstruation, and any fluctuations in the levels of these hormones can cause a disruption to your periods.

Puberty and menopause are times when hormone activity is particularly volatile, and this can cause episodes of heavy bleeding or irregular menstruation. Abnormal uterine bleeding could also be due to:

  • Contraceptive pills, implants, or IUDs
  • Rapid changes in weight
  • Severe chronic stress
  • Fibroids and polyps
  • Adenomyosis

Less commonly, abnormal bleeding may the result of:

  • Bleeding disorders
  • Anticoagulant medications
  • Cervical, endometrial, or uterine cancer
  • Cervical or endometrial infection
  • Diseases of the kidneys, liver, thyroid, or adrenal glands

If you have an episode of abnormal bleeding and are pregnant or postmenopausal, call Dr. Vinokur right away so she can assess whether you need immediate treatment.

How is abnormal uterine bleeding treated?

The treatment Dr. Vinokur recommends will depend on the cause of your bleeding. Possible interventions include:

  • Treatment to balance hormone levels, including bioidentical hormone therapy
  • Gonadotropin-releasing hormone agonists to prevent hormone release
  • Tranexamic acid to make your blood clot
  • IUD with progestin to reduce blood flow
  • Endometrial ablation to remove the lining of the uterus
  • Myomectomy or uterine artery embolization to tie off affected blood vessels
  • Hysterectomy to remove your uterus

Dr. Vinokur has more than 20 years of experience assessing and treating women’s gynecological issues. She can help you find the cause of your abnormal uterine bleeding and prescribe an effective solution. Call North Fulton OB-GYN today or book an appointment online.