Abnormal Uterine Bleeding

 Many women experience what they perceive as abnormal uterine bleeding at least once in their lives. Women in their 20s and early 30s often have unusual bleeding due to a hormonal imbalance. Abnormal uterine bleeding becomes more common as women near menopause. However, concerns remain about uterine polyps, fibroids and cancers.

What is considered abnormal uterine bleeding?

  • Bleeding or spotting between periods
  • Periods that occur less than 28 days or more than 35 days apart
  • Heavy bleeding
  • Bleeding that lasts longer than normal or for more than 7 days
  • Bleeding that occurs after menopause

Dr. Goldstein works closely with patients to determine likely causes of abnormal or heavy uterine bleeding, discussing medical histories and using non-invasive procedures, such as ultrasounds, sonohysterography or saline-infused solution sonohysterography. He often provides consults with women seeking second opinions and non-invasive treatment options.

Possible Causes of Abnormal Uterine Bleeding

Abnormal bleeding can be caused by many reasons, ranging from hormonal imbalances to uterine polyps, fibroids, cancer, miscarriage or the onset of menopause.

Uterine Polyps

Uterine polyps, or endometrial polpys, are small, bulb-shaped masses of endometrial tissue. They are often benign and asymptomatic. Polyps can, however, sometimes cause abnormal bleeding and impact fertility. Transvaginal sonogram sometimes with infusion of saline (sonohysterogram) are the most common tools to identify presence of uterine polyps and removal of polyps.

Uterine Fibroids

As many as one in five women develop uterine fibroids during their child-bearing years. Fibroids refer to small, benign tumors that develop in a woman’s womb. Common symptoms of uterine fibroids include:

  • Abnormal bleeding
  • Frequent urination
  • Pelvic cramping or pain with periods
  • Sensation of fullness or pressure in lower abdomen
  • Pain during intercourse

Pelvic exams and ultrasounds are often used to identify the presence of fibroids in the uterus. Treatment and management vary based on each patient’s health, medical history, symptoms and future plans, including wanting to become pregnant.

Abnormal Bleeding and Monitoring Expertise

Dr. Goldstein is a widely-regarded expert in gynecologic ultrasounds and imaging. He has written the book, “Imaging the Infertile Couple” and invented the Goldstein sonohysterography catheter. Dr. Goldstein currently serves as the Director for Gynecologic Ultrasound, Department of Obstetrics and Gynecology at New York University Medical Center. He has led grants and research relating to abnormal bleeding and gynecologic ultrasounds. Serving on the editorial board more than six scientific journals, he regularly contributes to advancements in the field.

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