AUB refers to uterine bleeding that is longer than usual or happens at an irregular time, including bleeding between periods or after sex.
Clinicians often organize causes using the PALM-COEIN framework (structural vs non-structural).
How to diagnose
Typical evaluation includes:
- Detailed menstrual history + physical exam
- Excluding pregnancy when relevant
- Full blood count to assess anemia in heavy bleeding
- Ultrasound to look for structural causes
- If bleeding occurs between periods/after sex, clinicians assess cervix and possible infections.
How to treat
Treatment depends on the cause and severity:
- Medications (including options to reduce heavy bleeding) may be offered first-line in many cases.
- Hormonal options (e.g., LNG-IUS) can be considered when appropriate.
- If symptoms persist or are severe, specialist procedures (e.g., endometrial ablation or hysterectomy) may be discussed.
FAQ
Is all unusual bleeding serious? Not always, but it should be checked.
What’s the key test? Often: history + CBC + ultrasound.
At Farhod Madad Shifo, we identify the cause of AUB step-by-step and create a clear, practical treatment plan.
✅ Message us or book a gynecology appointment.