What Causes Uterine Problems and Abnormal Vaginal Bleeding?

Dear Rashi Razz ji

Uterus-related problems can cause abnormal vaginal bleeding, and the right treatment depends on the underlying cause. Possible causes include hormonal changes, uterine fibroids, polyps, infections, or other gynaecological conditions. If the bleeding is unusual, continues for several days, or happens between periods, it is important to consult a gynaecologist for proper evaluation.

What should you do if you have uterine bleeding?

• Consult a gynaecologist to identify the cause of the bleeding.
• Keep track of when the bleeding starts, how long it lasts, and how many sanitary pads you use.
• Note any other symptoms, such as lower abdominal pain, dizziness, weakness, or unusual vaginal discharge.
• If pregnancy is possible, inform your doctor because bleeding during pregnancy needs medical assessment.
• If you have not had a period for 12 months and then experience vaginal bleeding, seek prompt medical evaluation.

What treatment be required?

Treatment depends on the cause, the amount of bleeding, your age, and whether you are pregnant. Your doctor may recommend a pelvic examination, blood tests, an ultrasound, or other investigations.

• Hormonal problems: The doctor may prescribe hormonal medicines to regulate bleeding.
• Uterine fibroids or polyps: Medicines or a procedure to remove the growth may be recommended, depending on its size and symptoms.
• Infection: Appropriate medicines may be prescribed if an infection is diagnosed.
• Heavy bleeding or other serious conditions: Additional treatment or surgery may be needed, depending on the diagnosis.

Do not take hormonal tablets or medicines to stop bleeding without medical advice, as the correct treatment depends on the cause.

What precautions should you follow?

• Get enough rest if you feel tired or weak.
• Change sanitary pads regularly and monitor the amount of bleeding.
• Avoid taking aspirin for pain unless it has been prescribed for another medical condition, as it can increase bleeding.
• Do not use vaginal washes, insert home remedies into the vagina, or take unprescribed medicines.
• Follow your doctor's advice and attend any recommended follow-up appointments.

What diet and lifestyle changes may help?

• Eat iron-rich foods such as spinach, lentils, beans, chickpeas, and lean meat if you eat it.
• Include vitamin C-rich foods such as oranges, guava, lemon, and amla to help your body absorb iron from food.
• Eat balanced meals containing vegetables, fruits, protein, and whole grains.
• Drink enough water and get adequate sleep.
• Avoid strenuous exercise if you are bleeding heavily, feeling dizzy, or unusually weak.

These dietary and lifestyle measures can support general health, but they will not treat the underlying cause of uterine bleeding. Iron supplements may be needed if you have anaemia, but they should be taken on medical advice.

When should you seek emergency medical care?

Seek emergency care immediately if you are soaking through approximately one sanitary pad per hour for two consecutive hours, have severe abdominal pain, feel faint, experience shortness of breath, or have heavy bleeding with possible pregnancy. Severe bleeding with dizziness or weakness should not be managed at home.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth