Metrorrhagia, also known as abnormal bleeding, is defined as bleeding in women that occurs between menstrual periods not associated with menstruation.This results in light to heavy bleeding that may or may not be accompanied by menstrual cramps.

Causes Of Abnormal Bleeding

There are various causes of abnormal bleeding. They may include the following:

  • Hormonal imbalance
  • Abnormal growths
  • Pregnancy
  • Miscarriage
  • Fibroids
  • Polyps
  • Infection
  • Cervical cancer
  • Uterine cancer
  • Types of birth control

Certain chronic medical conditions, such as thyroid disorders and diabetes can also cause abnormal bleeding.

Diagnosis Of Abnormal Bleeding

To diagnose the cause of this condition, the doctor will evaluate the patient’s medical history, including the frequency and length of menstrual periods. Additional tests to examine blood and the uterus may include:

  • Blood tests
  • Ultrasound
  • Endometrial biopsy
  • Hysteroscopy

Treatment Of Abnormal Bleeding

Treatment for abnormal bleeding varies and depends on the cause of the condition, but may include:

  • Hormone supplements
  • Antibiotics to treat infection
  • Removal of an intrauterine device
  • Birth control pills
  • Non-steroidal anti-inflammatory medication

Surgery may be necessary to remove growths such as polyps or fibroids that can cause bleeding. Other types of surgery may include:

  • Endometrial Ablation

    Endometrial ablation is a procedure that may be performed to destroy the lining of the uterus to minimize or stop bleeding.

  • Hysterectomy

    In severe cases, a hysterectomy may be recommended. This is a surgical procedure that removes the entire uterus. A hysterectomy requires a hospital stay and involves a long recovery.

Abnormal bleeding should be treated based on underlying causes and the patient’s individual condition. Metrorrhagia caused by a miscarriage requires prompt medical attention to prevent serious complications.