Causes and classification of abnormal uterine bleeding

Abnormal uterine bleeding is a common condition that affects about one-third of women of reproductive age. Diagnosing the cause of abnormal uterine bleeding is quite difficult, even not found, so when a patient detects signs of this condition, it is necessary to immediately go to medical facilities to access treatment. Soon.

1. Abnormal uterine bleeding overview

Abnormal uterine bleeding (AUB) is vaginal bleeding that originates from the uterus that is different from the normal menstrual cycle features. Some typical cases of this phenomenon include:
Bleeding between periods Heavy or prolonged bleeding after sex than normal (menorrhagia) Bleeding after menopause. A normal menstrual cycle lasts between 21-35 days, if the cycle is shorter or longer or amenorrhea within 3-6 months is also abnormal.

Trễ kinh, xuất huyết âm đạo liệu có phải dấu hiệu của thai ngoài tử cung? — Chu kì kinh nguyệt bất thường cũng cần đến cơ sở y tế thăm khám

2. Classification and approach to abnormal uterine bleeding

Abnormal uterine bleeding will include functional and organic uterine bleeding. In addition, based on the interval, menstrual date and menstrual volume, people also give abnormal uterine bleeding patterns as follows:
Menorrhagia: regular menstrual interval but prolonged menstrual day with a large amount of menstrual bleeding : irregular menstrual period, can be prolonged or normal Menorrhagia : irregular menstrual interval, heavy menstrual flow and heavy menstrual bleeding Menstrual irregularity : normal menstrual period and volume large Irregular: regular period and day of menstruation but low amount of menstrual period Occasional: irregular menstrual period, continuous change in menstrual days, and menstrual volume is only in spot Amenorrhea: no period for 90 days

Kinh nguyệt — Xuất huyết tử cung dẫn đến những thay đổi bất thường về lượng kinh

3. Causes of Abnormal Uterine Bleeding

Unusual uterine bleeding in reproductive age occurs due to some of the following causes:
Systemic causes:
Hypertension Blood disease (hemophilia) Anticoagulant use Hyperthyroidism or hypothyroidism Liver disease Endocrine therapy Use of birth control pills Local causes:
Complicated pregnancy Ectopic pregnancy Pelvic chronic inflammation Benign or malignant tumor (uterine or cervical fibroids) Lactation endometriosis Genital prolapse Using an IUD to prevent pregnancy Endometrial hyperplasia Some cancers such as uterine, cervical, and vaginal cancers Polycystic ovary syndrome

Ung thư cổ tử cung HPV — Ung thư cổ tử cung cũng là một trong những nguyên nhân gây xuất huyết

Cause of functional uterine bleeding: no physical cause, pregnancy or infection.
When experiencing gynecological diseases, you can go to Vinmec International General Hospital for examination and treatment. The team of gynecological specialists at Vinmec are well-trained, professional and experienced; system of modern equipment, meeting international standards; Professional service quality, high efficiency in diagnosis and treatment.
For detailed advice, please come directly to Vinmec health system or register online HERE.

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