My Period Stopped Then Started Again 4 Days Later My Blood Is Kind of Dark Brown
Overview
What is aberrant uterine haemorrhage (menometrorrhagia)?
Abnormal uterine bleeding (formerly chosen menometrorrhagia) is when you drain between your monthly periods or when your periods are extremely heavy and/or prolonged. Normal menstrual menstruum typically lasts about five days and occurs every 21 to 35 days.
Your provider should know about any aberrant bleeding you're experiencing. What's causing your bleeding may be harmless. But your bleeding may be a sign of cancer or conditions that may negatively impact your fertility.
What is the departure betwixt menorrhagia and menometrorrhagia?
Menometrorrhagia was once an umbrella term for two different atmospheric condition that sound nearly the same:
- Menorrhagia: excessive and/or prolonged menstruation.
- Metrorrhagia: excessive, prolonged and/or irregular bleeding unrelated to menstruation.
In 2011, the International Federation of Gynecology and Obstetrics (FIGO) changed the names to forbid confusion. Menorrhagia is now called heavy menstrual bleeding. Menometrorrhagia is now called abnormal uterine haemorrhage.
Who does it impact?
The term "abnormal uterine bleeding" primarily describes haemorrhage in non-pregnant people in their reproductive years. Just this doesn't mean that irregular haemorrhage won't bear on you if you're postal service-menopausal or meaning.
If you lot're haemorrhage and accept experienced menopause, contact your provider. Bleeding after menopause is never normal. Blood may be red, pink, brown or even rust-like in appearance.
You should also contact your provider if yous're haemorrhage during pregnancy. Some causes are harmless, but others require medical attention, specially if the bleeding happens tardily in your pregnancy.
How mutual is abnormal uterine bleeding?
Non everyone who experiences abnormal uterine haemorrhage reports their symptoms. As a issue, x% to 35% of women worldwide may take abnormal uterine haemorrhage. But the numbers may exist higher. Information technology'south virtually mutual during menarche (when menstruation begins) and perimenopause (the years leading up to menopause).
Hormone imbalances are often to blame for abnormal uterine haemorrhage. They're most mutual amid people whose periods are only beginning or nigh ending.
Diagnosis and Tests
How is abnormal uterine haemorrhage diagnosed?
Your healthcare provider will inquire you several questions when working to diagnose abnormal uterine bleeding. These questions may include:
- What brings on the bleeding?
- What other symptoms are you experiencing?
- Are y'all pregnant?
Your healthcare provider will and then do a physical exam, including:
- A pelvic examination.
- A cervical exam.
- A Pap smear (Pap exam).
What tests will be done to diagnose this condition?
Your healthcare provider may club several tests or procedures when diagnosing aberrant uterine bleeding. These tests may include:
- A pregnancy exam. A miscarriage causes heavy haemorrhage. You tin test positive on a pregnancy test upwards to 35 days after a miscarriage. Calorie-free haemorrhage is also common in the early stages of pregnancy.
- Blood tests. Your provider can check how your claret clots and practise a complete claret count.
- A thyroid exam. Problems with your thyroid function may be a sign that there is also a problem with your ovary role that could be causing your bleeding.
- Hormone levels test. Hormone imbalances may be causing your abnormal bleeding, or they may be a sign of a condition causing your haemorrhage.
- A hysteroscopic exam of your uterus lining (endometrium). This exam checks for fibroids, polyps or signs of cancer.
- A pelvic ultrasound . Imaging allows your provider to bank check for whatsoever growths in your reproductive organs that may be causing your bleeding. A sonohysterogram, as well chosen saline-infusion sonography, is a highly sensitive imaging procedure that tin help your provider identify abnormal structures in your uterus, like polpys or fibroids.
- A biopsy of your endometrium. Your provider can collect tissue samples from your uterus lining and check for signs of cancer or pre-cancer cells.
Management and Treatment
How is abnormal uterine bleeding treated?
Your treatment depends on what'southward causing your haemorrhage. Medications and surgical options are available to manage your bleeding or treat what'due south causing it.
Medications
Medications used to treat abnormal uterine bleeding include:
- Birth command pills.
- Progestin (can be given past a shot, implant or device placed in your uterus chosen an IUD).
- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil®, Motrin®).
- Gonadotropin-releasing hormone (GnRH) agonists can temporarily stop or reduce haemorrhage past preventing ovulation.
- Gonadotropin-releasing hormone (GnRH) antagonists (elagolix®) can manage heavy menses bleeding related to fibroids.
Surgery
There are several procedures available to treat abnormal uterine bleeding. Ask your provider almost how often they perform a given procedure. Seeing a provider who frequently performs a procedure often leads to faster recovery with fewer complications.
- Hysteroscopy. A procedure where your provider removes atypical structures in your uterus, similar fibroids and polyps.
- Uterine artery embolization. Stops claret flow to fibroids, causing them to compress.
- Myomectomy. Removes fibroids while keeping your uterus intact and preserving your power to get pregnant and take children.
- Endometrial ablation. Destroys your uterus lining through the use of a light amplification by stimulated emission of radiation, heat, electricity, microwave free energy or freezing. Y'all shouldn't have this process if you desire to get pregnant and have children.
- Hysterectomy. Removes your uterus. Hysterectomy is often used to treat cancer or malignant changes in your endometrium. Advanced stages of cancer may need radiations or chemotherapy.
Prevention
How can I reduce my risk?
You can't prevent many causes of abnormal uterine bleeding. But y'all can reduce your take chances of certain conditions that pb to abnormal haemorrhage. For instance, maintaining a good for you weight plays a potential office in keeping your hormones balanced. Avoiding diets that incorporate a high amount of beast fat tin reduce your run a risk of some cancers. Practicing safer sex can reduce your chance of sure sexually transmitted infections (STIs) that tin can cause abnormal uterine bleeding.
Outlook / Prognosis
What can I wait if I have this condition?
Your procedure for diagnosis and your options for treatment depend on what'due south causing your bleeding. When making a diagnosis, your provider will consider multiple factors, including your age, symptoms, and risk factors for certain conditions that crusade abnormal haemorrhage.
Your provider tin can individualize your care path – including diagnostic options and treatment — based on your physical exam and medical history.
Living With
When should I see my healthcare provider?
Schedule an appointment with your provider if y'all're noticing abnormal uterine bleeding and then that they can accost the underlying crusade.
Symptoms to watch out for include:
- Passing blood clots that are the size of a quarter or larger.
- Changing menstrual products less than every two hours.
- Haemorrhage in between periods or for longer than a week.
- Symptoms of anemia, like feeling drawn, weak, or short of breath.
- Symptoms of pica, which include hair loss, pale skin and the urge to eat non-food items (paper, hair, clay, etc.)
If abnormal bleeding interferes with your quality of life, see your provider. You shouldn't have to double up on menstrual products to manage your blood catamenia. Yous shouldn't have to skip activities yous relish or avoid going out in public because of heavy or unpredictable bleeding.
What questions should I ask my provider?
- Practise I accept heavy menstrual haemorrhage?
- Does my claret loss put me at risk for developing other health conditions?
- Am I bleeding so much that I'm at risk of developing anemia?
- What are the pros and cons of the treatment options bachelor to me?
- What are the best treatment options available if I wish to get pregnant in the future?
- Will you administrate my treatment alone, or will information technology involve a care team?
- What surgical experience do you have in treating aberrant uterine bleeding? Is this a routine part of your practise?
A note from Cleveland Clinic
You're the best judge of what'southward normal for you — how long your periods usually last and how heavy your bleeding is. If your periods are specially heavy or lasting longer than usual, or if you're bleeding outside your menstrual bicycle, speak to your provider. Y'all should never suffer in silence or exist embarrassed. Many non-invasive treatment options are bachelor to you that can provide relief from your haemorrhage.
Source: https://my.clevelandclinic.org/health/diseases/15428-uterine-bleeding-abnormal-uterine-bleeding
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