Abnormal Uterine Bleeding (AUB)

Abnormal Uterine Bleeding (AUB): Causes, Diagnosis, and Advanced Treatment With Dr Shruti Patil In Pune

Abnormal uterine bleeding (AUB) is one of the most common gynecological problems faced by women of reproductive age. While occasional changes in menstrual flow are normal, persistent, prolonged, or heavy bleeding often signals an underlying health condition that needs professional evaluation.

At Dr Shruti Patil’s Obstetrics and Gynecology Clinic in Pune, patients receive advanced and compassionate care for all types of AUB Treatment. Combining years of clinical experience with modern diagnostic tools, Dr Shruti Patil ensures that every woman receives personalized treatment to restore her health, comfort, and confidence.

What Is Abnormal Uterine Bleeding?

Abnormal uterine bleeding refers to any deviation from a woman’s normal menstrual pattern — including irregular timing, heavier-than-usual flow, prolonged duration, or unexpected bleeding between cycles.

AUB is not a disease in itself but a symptom that can result from hormonal imbalance, structural uterine abnormalities, or systemic health issues. It can occur in adolescent girls, women in their reproductive years, or during perimenopause.

A specific type, known as AUB-O (AUB due to ovulatory dysfunction), happens when the ovaries fail to release an egg regularly. In such cases, estrogen continues to thicken the uterine lining without progesterone’s balancing effect — leading to irregular or heavy bleeding episodes.

Common Causes Of AUB

AUB can arise from a wide range of factors. The most common causes include:

• Hormonal Imbalance: Excess estrogen without sufficient progesterone leads to endometrial overgrowth.
• Structural Abnormalities: Presence of fibroids, polyps, or adenomyosis.
• Pregnancy-Related Issues: Miscarriage, ectopic pregnancy, or retained placental tissue.
• Endocrine Disorders: Thyroid dysfunction, PCOS, or pituitary gland disorders.
• Medications: Hormonal contraceptives or blood-thinning drugs.
• Infections or Cancer: Cervical or uterine infections, precancerous lesions, or rarely, uterine cancer.

Symptoms Of Abnormal Uterine Bleeding

The symptoms of AUB vary depending on its cause and severity. Common signs include:

• Polymenorrhea: Bleeding more often than every 21 days.
• Metrorrhagia: Bleeding between regular menstrual periods.
• Menorrhagia: Heavy bleeding lasting longer than seven days or requiring frequent pad changes.
• Menometrorrhagia: Both irregular and heavy bleeding.
• Prolonged or postmenopausal bleeding: Bleeding after menopause or beyond normal duration.

Women may also experience fatigue, dizziness, abdominal cramps, or weakness due to iron deficiency or anemia from prolonged blood loss. These symptoms should not be ignored and require prompt AUB Treatment from an experienced gynecologist.

Diagnosis Of Abnormal Uterine Bleeding

Proper diagnosis is essential to determine the exact cause of AUB and to guide effective treatment. At Dr Shruti Patil’s clinic in Pune, the evaluation process is thorough and personalized, involving the following steps:

Detailed Medical History & Physical Examination

Dr Patil begins with a comprehensive discussion of menstrual cycles, lifestyle, medications, and past medical history. A gentle pelvic examination helps detect any visible abnormalities in the uterus or cervix.

Laboratory Investigations

• Complete Blood Count (CBC): To check for anemia or excessive blood loss.
• Pregnancy Test: To rule out early pregnancy or miscarriage.
• Hormonal Profile: Assessing levels of estrogen, progesterone, thyroid hormones, prolactin, and androgens.

Imaging Studies

• Transvaginal Ultrasound (TVS): A safe and precise imaging method that evaluates the uterus, ovaries, and endometrium. It helps identify fibroids, cysts, or polyps that may cause bleeding.

Endometrial Biopsy

In women above 35 or those with high-risk factors (like obesity or chronic anovulation), a biopsy is performed to check for abnormal or precancerous cells in the uterine lining.

Hysteroscopy

This minimally invasive diagnostic and therapeutic tool allows direct visualization of the uterine cavity. During the procedure, Dr Shruti Patil can detect and even remove small polyps or fibroids in the same sitting, ensuring quick recovery and reduced discomfort.

Treatment Options For AUB

Treatment for abnormal uterine bleeding depends on the underlying cause, patient’s age, desire for future pregnancy, and overall health condition. Dr Shruti Patil, recognized as the Best Gynecologist for AUB Surgery in Pune, tailors treatment plans that combine safety, efficacy, and long-term wellness.

Medical Management

• Hormonal Therapy:
  Includes oral contraceptives, progesterone-only pills, or hormonal IUDs to regulate cycles and stabilize endometrial growth.
• Non-Hormonal Medications:
  Drugs like tranexamic acid or NSAIDs can reduce blood loss and relieve pain in women who cannot take hormones.
• Iron Supplements:
  Prescribed to treat anemia and restore energy levels in patients with heavy blood loss.

Minimally Invasive Procedures

When medication is not sufficient, minor surgical options can provide long-term relief:

• Dilation and Curettage (D&C): The uterine lining is gently removed to control heavy bleeding.
• Endometrial Ablation: Modern techniques such as radiofrequency or cryotherapy destroy the endometrial lining to reduce or stop excessive bleeding.

Surgical Management

For severe or persistent cases, surgical options may be necessary:

• Myomectomy or Polypectomy: Removal of fibroids or polyps while preserving the uterus.
• Hysterectomy: In rare, advanced cases — such as endometrial cancer or refractory AUB — complete removal of the uterus may be recommended.

Dr Shruti Patil ensures that every surgical decision is made only after detailed counselling and consideration of the patient’s reproductive goals.

Post-Treatment Care And Follow-Up

After undergoing AUB Treatment, patients are encouraged to attend regular follow-up visits to monitor progress and ensure full recovery. Lifestyle adjustments can also make a major difference in preventing recurrence:

• Maintain a balanced diet rich in iron and essential nutrients.
• Exercise regularly to regulate hormones and improve metabolism.
• Manage stress through yoga, meditation, or relaxation therapy.
• Track menstrual patterns and report any irregularities promptly.

With Dr Patil’s continuous support, most women experience complete resolution of symptoms and return to a healthy menstrual rhythm within a few months.

Why Choose Dr Shruti Patil For AUB Treatment In Pune

Dr Shruti Patil is an experienced Obstetrician, Gynecologist, and Infertility Specialist with over a decade of clinical expertise. Renowned for her patient-first approach and meticulous diagnostic accuracy, she provides one of the most reliable and advanced AUB Treatments in Pune.

At her modern and well-equipped clinic, patients benefit from:

• Accurate diagnosis using state-of-the-art ultrasound and hysteroscopy
• Comprehensive medical and surgical treatment for all causes of AUB
• Individualized care tailored to reproductive goals and overall health
• Compassionate guidance and emotional support throughout recovery

Her clinic is known for being a safe and comfortable environment where women can discuss sensitive issues openly. Dr Patil’s holistic approach ensures not just physical recovery but also emotional well-being, empowering women to lead healthy and confident lives.