Care Options for Abnormal Uterine Bleeding
Changes in bleeding can feel stressful and confusing. This category page covers Abnormal Uterine Bleeding and common terms used in care. It helps patients and caregivers compare resources and plan questions. It also supports browsing options when bleeding feels heavier, longer, or irregular.
Here, “AUB” means bleeding that differs from a typical cycle pattern. People may notice heavy menstrual bleeding, irregular periods, or prolonged periods. Some notice intermenstrual bleeding, including spotting between periods. The right next step depends on age, pregnancy risk, and symptoms. Many causes are treatable, but evaluation matters.
Quick tip: Keep dates, flow notes, and any clots in one simple log.
Abnormal Uterine Bleeding What You’ll Find
This collection focuses on practical information and care navigation. It groups common bleeding patterns and medical terms you may see. It also outlines how clinicians often approach evaluation and follow-up. This helps avoid guesswork when reading options.
You may see summaries that connect symptoms to likely categories. Clinicians often use the PALM-COEIN classification (a cause framework). “PALM” covers structural causes like polyps and fibroids. “COEIN” covers non-structural causes like ovulatory dysfunction bleeding. The goal is clear language for planning care.
- Plain-language definitions for heavy bleeding and irregular cycles
- Common AUB causes, including uterine fibroids bleeding and endometrial polyps bleeding
- Context on adenomyosis bleeding and endometrial hyperplasia
- Overview of AUB diagnosis and AUB evaluation discussions
- High-level AUB treatment options, from medications to procedures
Medispress visits use licensed U.S. clinicians for telehealth care conversations.
How to Choose
Start by matching what is happening to the right information section. Use the terms below to stay oriented. Then compare options by what they require and what they monitor. This page aims to reduce uncertainty, not replace clinical judgment.
Match the bleeding pattern to the right questions
- Heavy flow: track pads or tampons used and overnight changes
- Timing changes: note cycle length, missed periods, or frequent bleeding
- Bleeding between periods: record spotting days and trigger activities
- Prolonged bleeding: note total days and any fatigue symptoms
- Life stage: include perimenopause bleeding context when cycles shift
- After menopause: treat postmenopausal bleeding info as higher priority
Compare evaluation pathways without guessing the outcome
- Ask what history details matter most for triage and safety
- Check whether imaging is discussed, like ultrasound for uterine bleeding
- Look for hysteroscopy for AUB when a uterine cavity view matters
- Review endometrial biopsy indications when tissue sampling is considered
- Note how pregnancy possibility changes recommended evaluation steps
- Plan questions about anemia, dizziness, and medication interactions
Why it matters: Good notes can shorten visits and reduce repeat testing.
Safety and Use Notes
Bleeding changes can have many causes, from benign to serious. A clinician usually considers pregnancy, infection, and medication effects. They also consider structural causes like fibroids, polyps, or adenomyosis. Non-structural causes can include coagulation issues or ovulatory dysfunction.
Seek urgent care for severe bleeding, fainting, or chest pain symptoms. Also get urgent help for suspected pregnancy with pain or heavy bleeding. Postmenopause bleeding always deserves timely evaluation. These situations need in-person assessment, not browsing alone.
- Some treatments may include hormonal therapy for AUB under clinician guidance
- Some plans may include tranexamic acid for bleeding when appropriate
- Devices like a levonorgestrel IUD for AUB may appear in comparisons
- Procedures may include endometrial ablation overview in selected cases
- Medication safety depends on clot history, liver disease, and interactions
Appointments happen by video through a secure HIPAA-compliant app.
For evidence-based context, see this neutral overview from ACOG on abnormal uterine bleeding basics. For symptom framing and red flags, see MedlinePlus on vaginal bleeding between periods.
Access and Prescription Requirements
This collection may include prescription-only options and non-prescription supports. Prescription items require a clinician’s evaluation and a valid prescription. Pharmacies also verify prescriptions and patient details before dispensing. Some options may not fit telehealth and may require in-person exams.
People often ask about access when insurance is not available. Some services support cash-pay care, often without insurance, when clinically appropriate. Access can depend on state rules, medical history, and recent symptoms. It can also depend on needed labs or imaging.
- Expect identity and safety questions during intake and checkout
- Share current medicines, allergies, and clotting history when asked
- Ask how follow-up works if bleeding patterns change quickly
- Confirm what documentation a partner pharmacy may require
- Plan for in-person care if a pelvic exam becomes necessary
When clinically appropriate, clinicians can coordinate prescriptions through partner pharmacies.
Related Resources
Some readers also want background on how virtual care works. This overview explains common telehealth limits and benefits: Why Telehealth Works. Symptom tracking skills also transfer across chronic conditions. Caregivers may find this structured approach useful: Juvenile Rheumatoid Arthritis Approaches. For general symptom triage habits, this guide can help organize details: Common Types Of Headaches.
If reviewing options feels overwhelming, focus on three items first. Clarify the bleeding pattern, list major risk factors, and note what evaluation may be needed. Then compare options by safety considerations and follow-up needs. This approach keeps decisions grounded in clinical facts.
This content is for informational purposes only and is not a substitute for professional medical advice.

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Frequently Asked Questions
What does abnormal uterine bleeding mean in plain language?
Abnormal uterine bleeding describes bleeding that differs from a typical cycle pattern. It can mean heavier flow, bleeding that lasts longer, or bleeding at unexpected times. Some people notice spotting between periods or frequent bleeding with short cycles. Clinicians often shorten the term to AUB in notes. The label does not identify a single cause. It signals that evaluation should match age, symptoms, and pregnancy possibility.
What symptoms should be treated as urgent with heavy or irregular bleeding?
Some symptoms need urgent care rather than online browsing. Severe bleeding that soaks through pads hourly can be urgent. Fainting, severe weakness, shortness of breath, or chest pain also matters. Pregnancy with pain and bleeding needs prompt in-person evaluation. Bleeding after menopause should be assessed quickly, even if light. When symptoms feel sudden or severe, urgent assessment helps rule out emergencies and stabilize anemia risk.
What kinds of tests are commonly discussed during AUB evaluation?
AUB evaluation often starts with a detailed history and symptom timeline. Clinicians may ask about cycle dates, pregnancy risk, medications, and bleeding volume. Depending on age and symptoms, they may discuss blood work for anemia. They may also discuss imaging, like ultrasound, to look for fibroids or polyps. In some cases, they discuss hysteroscopy or endometrial biopsy. The right set depends on individual risk factors.
What treatment options might appear for abnormal uterine bleeding?
Treatment options vary based on the suspected cause and goals of care. Some people discuss medication approaches, including hormone-based options. Others discuss non-hormonal approaches like tranexamic acid, when appropriate. Long-acting options, such as a levonorgestrel IUD, may appear in comparisons. If a structural cause is likely, clinicians may discuss procedures like hysteroscopy. Some people also review endometrial ablation as a procedural option in selected situations.
How do prescriptions work if a clinician recommends an option?
Prescription medications require a clinician evaluation and a valid prescription. A dispensing pharmacy then verifies prescription details and patient information. Some services coordinate prescription routing to partner pharmacies when appropriate. Availability can vary by state rules and clinical needs. Some situations require in-person care before any prescription decision, such as when an exam or urgent testing is needed. Pharmacy teams may also check for interactions, allergies, and safety concerns before dispensing.

