Abnormal Uterine Bleeding Treatment in Central Nebraska

While every woman’s menstrual cycle is slightly different, periods should be predictable and manageable. If you experience abnormal uterine bleeding, it’s important to have it evaluated.


The experienced physicians and midwives at Obstetricians & Gynecologists, PC in Central Nebraska, specialize in diagnosing the cause of abnormal bleeding and providing personalized treatment plans to restore your health and peace of mind.


To schedule an evaluation, call the office or request an appointment online today.

What Is Abnormal Bleeding?

Abnormal uterine bleeding refers to changes in your normal menstrual cycle, including timing, frequency, or volume of bleeding.


Types of Abnormal Bleeding


Bleeding Between Periods

  • Occurs outside your regular cycle
  • May include bleeding after intercourse or after menopause


Heavy Menstrual Bleeding

You may have heavy bleeding if:

  • Your period lasts longer than 7–8 days
  • You soak through one or more pads or tampons per hour
  • You need to use multiple forms of protection
  • You wake up at night to change protection
  • You pass large blood clots (quarter-sized or larger)


Irregular Periods

  • Cycles shorter than 24 days or longer than 38 days
  • Periods that are inconsistent month to month


Irregular cycles may be normal during puberty and perimenopause, but outside of these stages, they should be evaluated.

What Causes Abnormal Bleeding?

Abnormal bleeding can result from a variety of gynecologic and medical conditions.


Common Causes Include:


Irregular ovulation


Endometriosis


Uterine fibroids or polyps


Polycystic ovary syndrome (PCOS)



Bleeding disorders


Miscarriage


Endometrial cancer


Ectopic pregnancy


Lifestyle and medical factors may also contribute, including:


Stress


Thyroid disorders


Eating disorders



Uncontrolled diabetes


Obesity


Because there are many possible causes, a proper evaluation is essential.

When Should I See a Doctor for Abnormal Bleeding?

You should schedule an evaluation if you experience:

  • Heavy or prolonged periods
  • Bleeding between periods
  • Irregular menstrual cycles
  • Bleeding after menopause
  • Symptoms that interfere with daily life


Early diagnosis can help identify underlying conditions and prevent complications.

How Is Abnormal Bleeding Diagnosed?

Your provider at Obstetricians & Gynecologists, PC will begin with:

  • A review of your medical history
  • A discussion of your symptoms
  • A pelvic exam

Additional Testing May Include:

  • Blood tests
  • Ultrasound imaging
  • Other diagnostic procedures as needed


These evaluations help determine the underlying cause and guide treatment.


How Is Abnormal Bleeding Treated?

Treatment depends on the cause, severity of symptoms, and your overall health goals.


Medication


Medication is often the first step and may include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Hormonal therapies to regulate cycles and reduce bleeding


Minimally Invasive Procedures


If symptoms persist, your provider may recommend procedures such as:


Endometrial Ablation

  • Removes the uterine lining
  • Reduces or stops heavy bleeding
  • Recommended if you are finished having children


Myomectomy

  • Removes uterine fibroids
  • Preserves the uterus


Uterine Artery Embolization

  • Shrinks fibroids by cutting off their blood supply


Surgical Treatment


Hysterectomy

  • Removal of the uterus
  • Considered only after other treatments have been explored
  • Recommended when symptoms are severe and no future pregnancies are planned

Personalized Care for Pelvic Health

Every treatment plan is tailored to your individual needs. Your provider will consider:

  • The underlying cause

  • Your symptoms and severity

  • Your reproductive goals

  • Your overall health


This ensures you receive the most appropriate and effective care.


Schedule an Abnormal Bleeding Evaluation

Women should never have to live with abnormal bleeding. For expert evaluation and treatment in Hastings or Grand Island, Nebraska, call Obstetricians & Gynecologists, PC, or request an appointment online today.