Bleeding Disorders and Abnormal Uterine Bleeding
Abnormal uterine bleeding can sometimes be attributed to bleeding disorders and issues with blood clotting, such as von Willebrand disease. A study conducted on 150 women with abnormal uterine bleeding found that 17% of them were diagnosed with a bleeding disorder. These women commonly experience a condition called menorrhagia, characterized by heavy and prolonged menstrual bleeding.
When a woman with menorrhagia is diagnosed with a bleeding disorder, it is typical for her to be referred to a hematologist for further treatment. The hematologist may recommend medication to assist with blood clotting and manage the condition effectively.
Managing Polycystic Ovary Syndrome (PCOS)
Polycystic ovary syndrome (PCOS) is a condition characterized by elevated levels of androgens (male hormones) in a woman’s body. This hormonal imbalance leads to a range of symptoms, including irregular or absent menstrual periods, heavy bleeding, excess body hair, acne, infertility, and the presence of multiple cysts on the ovaries. It is worth noting that symptoms tend to be more severe in overweight women.
Treatment: The initial approach to managing PCOS involves making lifestyle changes. Shedding excess weight and adopting a low glycemic diet have been found to effectively control symptoms and regulate menstrual cycles. In addition, combination birth control pills or progestin therapy can be prescribed to help manage symptoms. For women with PCOS who desire to conceive, various medications may be recommended to stimulate ovulation. These may include clomiphene (Clomid), letrozole (Femara), metformin (Glucophage, Fortamet, others), or gonadotropins (administered via injection).