Management Approach for Abnormal Uterine Bleeding and how to treat it

Mr Osama Naji, Consultant Gynaecologist at The Princess Grace Hospital, explains in brief abnormal uterine bleeding and how to manage it below.

Osama Naji, Consultant Gynaecologist Osama Naji, Consultant Gynaecologist Osama Naji, Consultant Gynaecologist

Osama’s expertise and interests are in the early detection of gynaecological, pre-cancerous and cancerous conditions using advanced outpatient facilities such as colposcopy, ultrasound and hysteroscopy. This is with the aim of lessening the need for major surgery.

Additionally, he is skilful in the field of ultrasound-guided minimally invasive procedures to investigate infertility, emergency gynaecological conditions and early pregnancy.

What is abnormal uterine bleeding?

Abnormal uterine bleeding (AUB) is a common gynaecological condition, and simply refers to irregular or excessive menstrual bleeding. It can have a variety of causes, including hormonal imbalances, structural abnormalities of the uterus or cervix, and underlying medical conditions. Proper management of AUB often requires a thorough evaluation to determine the underlying cause and appropriate treatment.

How exactly can ultrasound help with the management of it?

Ultrasound is an important imaging modality that can play a crucial role in the management of abnormal uterine bleeding. Ultrasound scans can assess the size and shape of the uterus. Ultrasound can also be used to assess the thickness and appearance of the endometrium, the lining of the uterus.
In addition to evaluating the uterus, ultrasound can also be used to assess the ovaries and surrounding structures. Ovarian cysts, for example, can sometimes cause AUB. Ultrasound can help to identify the presence and size of ovarian cysts, which can then be monitored or treated accordingly.

Another important use of ultrasound in the management of AUB is to guide interventional procedures. For example, ultrasound can be used to guide the placement of a hysteroscope, a thin instrument that is used to visualize the inside of the uterus. Ultrasound can also be used to guide the biopsy of the endometrium or the removal of uterine fibroids or polyps.

Overall, ultrasound is an important tool in the evaluation and management of AUB. It can provide valuable information about the size, shape, and appearance of the uterus and surrounding structures, helping healthcare providers to determine the underlying cause of abnormal uterine bleeding, and thus provide appropriate treatment.

How is abnormal uterine bleeding managed and treated?

The management and treatment of abnormal uterine bleeding depends on the underlying cause and the severity of the bleeding. Some common approaches to managing and treating abnormal uterine bleeding include:

  • medications such as birth control pills
  • dilation and curettage
  • endometrial ablation 
  • hysterectomy 

Find out more about the services at The Princess Grace Hospital.

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