Abnormal Bleeding

Abnormal Bleeding: A Symptom of Uterine Fibroids

Abnormal bleeding can be classified as bleeding that occurs between menstrual cycles or after intercourse, unusually prolonged bleeding, or an exceptionally heavy period. Typically, a normal menstrual period lasts about five days and occurs every 21 to 35 days. It is crucial to inform your healthcare provider about any unusual bleeding you experience.

For women with uterine fibroids, irregular or heavy bleeding is a common symptom. These non-cancerous tumors cause abnormal growth of cells in the uterus, leading to irregular bleeding. If you find yourself using more feminine hygiene products than usual, it could be a sign of fibroids.

Signs of Irregular Bleeding

Abnormal bleeding does not necessarily mean there is a severe problem, but it is frequently associated with uterine fibroids. Menstrual bleeding can vary widely in what is considered “normal.” However, if your bleeding is excessively heavy and irregular to the point of disrupting your daily life, it might indicate a medical issue. Typical signs of abnormal bleeding include:

Bleeding between menstrual cycles, following sexual intercourse, or during menopause
Periods that last 7 days or longer than usual
Irregular menstrual cycles
Using over two tampons or sanitary pads every hour
Excessive menstrual bleeding
Your hemoglobin level is below 12.

Causes of Abnormal Bleeding

Abnormal bleeding can result from a variety of factors, including medical conditions and stress. In many cases, it is due to a hormonal imbalance. The hormones estrogen and progesterone are typically released each month during ovulation. Other possible causes of abnormal uterine bleeding (AUB) include:

Uterine fibroids
Polycystic ovarian syndrome
Excessive weight gain or loss
Uterine polyps
Thickening of the uterine wall or lining
Cancer of the ovaries, uterus, cervix, or vagina
Bleeding disorders or problems with blood clotting
Hormonal birth control

How do fibroids lead to irregular bleeding?

Fibroids can exert pressure on the uterine lining, potentially leading to increased bleeding. This pressure may impair the uterus’s ability to contract effectively, making it difficult to control the bleeding. Additionally, fibroids can promote the development of new blood vessels, which may cause heavier or irregular menstrual periods and spotting between periods.

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What to Anticipate from UFE

Abnormal Uterine Bleeding Treatment

Making lifestyle adjustments along with undergoing minimally invasive procedures like Uterine Fibroid Embolization (UFE) can greatly reduce or remove your fibroids. After treatment, you should notice a decrease in abnormal or heavy bleeding.

Lifestyle Changes & Medication Options

Your doctor might suggest using an intrauterine device (IUD) or birth control pills to prevent the uterine lining from becoming overly thick and to lessen abnormal bleeding. These methods can also help regulate hormone levels and improve overall menstrual health. For those with fibroids, there are natural methods to reduce their size, including maintaining a healthy diet, exercising regularly, taking Vitamin D supplements, minimizing alcohol intake, and reducing stress through practices like yoga or meditation.

UFE Procedure: Minimally Invasive Fibroid Treatment

Uterine Fibroid Embolization (UFE) is a minimally invasive, image-guided procedure designed to treat uterine fibroids and abnormal bleeding. In UFE, a small incision is made in the groin or wrist, through which a thin catheter is inserted into the artery supplying blood to the fibroids. Tiny particles are then injected to block the blood flow, leading to the shrinkage and eventual death of the fibroids. This method offers a quicker recovery, fewer complications, and avoids the need for a hospital stay, in contrast to major surgery.

Fibroid FAQ

Can fibroids develop into cancer?

Uterine fibroids are generally non-cancerous, with cancerous ones being extremely rare, occurring in fewer than one in 1,000 cases. The rare cancerous fibroid is called uterine leiomyosarcoma (ULMS). Most women with fibroids do not show symptoms, and only a small fraction will need medical intervention. Having uterine fibroids does not increase your risk of developing a cancerous fibroid or other uterine cancers.

In what ways can fibroids impact pregnancy?

Small to medium-sized fibroids that don’t cause symptoms typically won’t impact your ability to conceive or have a healthy pregnancy. However, fibroids can enlarge during pregnancy due to higher hormone levels and increased blood flow to the uterus. If they do grow, it’s usually within the first trimester. Generally, surgery is not required or done during this period. If you have fibroids and become pregnant, consult your doctor.

Can fibroids reappear after undergoing Uterine Fibroid Embolization?

UFE is a minimally invasive, image-guided treatment designed to obstruct blood flow to the fibroids in your uterus, leading to their gradual shrinkage. The effectiveness of UFE can differ based on factors like the fibroids’ location and number, as well as your general health. If the fibroids do recur, they typically grow at a slow rate. Nevertheless, research indicates that most women find their fibroids do not return after this procedure.

Abnormal Bleeding