Women's Health

Abnormal Uterine Bleeding, Understood and Treated with Care

Heavy, irregular, or unpredictable periods are common, but they are never something to simply endure. Dr. Lida offers a calm, thorough evaluation to find the cause and a treatment plan that fits your life and your goals.

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What Is AUB

When Your Cycle Doesn't Follow the Rules

Abnormal uterine bleeding, or AUB, is characterised by unpredictable menstrual bleeding patterns — including bleeding that occurs between periods, or exceptionally heavy and prolonged menstrual flows. Normal menstruation typically lasts about five days and occurs every 21 to 35 days.

This condition often requires medical evaluation, and it may impact fertility and overall health. The underlying cause can range from a hormonal imbalance to a structural issue such as a fibroid or polyp. What matters is finding out which, so the right plan can follow.

Dr. Lida Anwari provides an overall evaluation and individualised treatment plans based on your specific needs, guiding you through effective management options — from non-invasive treatments to advanced surgical procedures.

Quick Facts

AUB at a Glance

Normal menstruation lasts aboutFive days
Normal cycle occurs every21–35 days
First-line investigationsBlood tests & pelvic ultrasound
Treatment may includeMedication or surgery, by cause
May impactFertility & overall health

Causes of Abnormal Uterine Bleeding

What Can Cause Abnormal Bleeding

Abnormal uterine bleeding (AUB) can be caused by a variety of factors, including:

Hormonal Imbalances

Too much estrogen or insufficient progesterone; anovulation.

Medical Conditions

Polycystic ovary syndrome (PCOS); thyroid disease; excess body weight.

Structural Abnormalities

Fibroids; polyps; adenomyosis.

Pregnancy-related Issues

Miscarriage; ectopic pregnancy.

Infections

Trichomoniasis; cervicitis; chlamydia; gonorrhea; endometritis; vaginitis.

Cancer & Pre-cancerous Conditions

Uterine, cervical, ovarian, or vaginal cancer; endometrial hyperplasia.

Medications & Devices

Blood thinners and aspirin; hormone replacement therapy; tamoxifen (breast cancer treatment); intrauterine devices (IUDs); birth control pills and injectables (e.g. NuvaRing®, Depo-Provera®, Implanon®).

Other Medical Conditions

Von Willebrand disease; liver or kidney disease; pelvic inflammatory disease (PID); leukemia or other platelet disorders.

Trauma & Retained Foreign Bodies

Injury to the uterus; forgotten IUDs leading to infection and abnormal bleeding.

Our Approach

A Clear Path From Symptom to Solution

Abnormal uterine bleeding is diagnosed using an overall evaluation. Dr. Lida combines a detailed clinical assessment with imaging and lab work to reach an accurate cause, then discusses every reasonable treatment option with you before deciding together on a plan.

Diagnostic Steps

Blood tests — to assess blood clotting ability and conduct a complete blood count
Thyroid function test — thyroid disorders may be a latent cause contributing to bleeding
Hormone level assessment — to evaluate imbalances or underlying conditions
Hysteroscopic examination — direct visualisation of the uterine lining for fibroids, polyps, or cancer
Pregnancy test — heavy bleeding can follow a miscarriage, and light bleeding is common in early pregnancy
Pelvic ultrasound — including saline-infusion sonography to determine abnormal anatomy within the uterus
Endometrial biopsy — tissue samples from the uterine lining to check for signs of cancer or pre-cancerous cells

1 — Medications

Birth control pills — help regulate menstrual cycles
Progestin — available via injection, implant, or an IUD to manage bleeding
NSAIDs — ibuprofen (Advil, Motrin) helps decrease pain as well as bleeding
GnRH agonists — temporarily stop or lessen bleeding by inhibiting ovulation
GnRH antagonists — like elagolix®, helpful in managing heavy bleeding due to fibroids

2 — Surgery

Hysteroscopy — removes abnormal structures such as fibroids or polyps from the uterus
Uterine artery embolisation — blocks blood flow to fibroids, causing them to shrink
Myomectomy — removes fibroids while preserving the uterus, allowing for future pregnancies
Endometrial ablation — destroys the uterine lining; not suitable for those wishing to conceive
Hysterectomy — removal of the entire uterus, sometimes to treat cancer or severe uterine anomalies

Symptoms

Signs of Abnormal Uterine Bleeding

Women experiencing abnormal uterine bleeding may notice a variety of symptoms, including:

Heavy Menstrual Bleeding

Bleeding or Spotting Between Cycles

Bleeding or Spotting After Sex

Bleeding After Menopause

Cycle Longer Than 35 or Shorter Than 21 Days

Irregular Periods, More Frequent Than Every 21 Days

Periods Lasting Seven Days or More

Inconsistent Menstrual Cycles

Why Dr. Lida

Why Choose a Fetal Medicine Specialist Like Dr Lida Anwari for Abnormal Uterine Bleeding Treatment in Dubai

If you’re experiencing abnormal uterine bleeding, Dr Lida Anwari is here to help. Dr Lida is dedicated to compassionate and comprehensive care, and she provides individualised treatment plans based on your specific needs.

Utilising the latest medical advancements, Dr Lida Anwari can guide you through effective management options, from non-invasive treatments to advanced surgical procedures. Don’t let abnormal bleeding affect your quality of life — contact us today to schedule your appointment.

Dr Lida Anwari, a consultant maternal-fetal medicine specialist with extensive UK NHS experience, provides expert care for abnormal uterine bleeding and high-risk pregnancies. She specialises in advanced diagnostic techniques, personalised treatment plans, and holistic maternal-fetal care — from managing multiple pregnancies to offering cutting-edge solutions for uterine fibroids and abnormal bleeding.