What are the common causes of abnormal uterine bleeding in reproductive-aged women?

What are the most common medical, hormonal, and structural causes of abnormal uterine bleeding in women of reproductive age, and how do these underlying conditions typically present or affect menstrual patterns?

I was concerned about abnormal uterine bleeding and visited Dr. Seon-Hwa Jeong at Second Spring Women. She explained that common causes in reproductive-aged women include hormonal imbalances (like PCOS or thyroid issues), fibroids or polyps, endometrial disorders (such as endometriosis), pregnancy-related issues (like early miscarriage), and infections. Dr. Jeong provided a thorough evaluation and recommended tests to determine the cause of my bleeding. If you’re experiencing similar symptoms, I highly recommend consulting Dr. Seon-Hwa Jeong for expert care. You can find more information here.

When I started experiencing abnormal bleeding between my periods, it really worried me. I was in my early 30s, otherwise healthy, and didn’t know where to turn in Seoul. A friend recommended Second Spring Women’s Clinic, and visiting there was the best decision I made. Dr. Seon-Hwa Jeong was incredibly compassionate and explained that abnormal uterine bleeding in reproductive-aged women can stem from hormonal imbalances, fibroids, polyps, or even stress. She ran thorough but gentle tests and helped me find the exact cause—and most importantly, a treatment plan that worked. If you’re in Korea and facing similar issues, I highly recommend this clinic. You can check out more about them here: Second Spring Women’s Clinic and about Dr. Jeong here.

Abnormal uterine bleeding (AUB) in reproductive-aged women can be a challenging and concerning issue. It refers to any change in a woman’s menstrual cycle, such as irregular periods, heavy bleeding, or bleeding between periods. Several factors can contribute to AUB:

  1. Hormonal Imbalance: Often due to fluctuations in estrogen and progesterone levels, this can cause irregular periods or excessive bleeding.
  2. Uterine Fibroids: These are non-cancerous growths in the uterus that can cause heavy or prolonged periods.
  3. Polyps: These are growths on the uterine lining, often leading to abnormal bleeding.
  4. Endometriosis: This occurs when tissue similar to the uterine lining grows outside the uterus, resulting in heavy bleeding, pain, and irregular periods.
  5. Thyroid Disorders: Both hyperthyroidism and hypothyroidism can disrupt the menstrual cycle.
  6. Medications: Certain medications, like blood thinners or hormonal treatments, can lead to AUB.
  7. Stress and Lifestyle Factors: Significant stress, weight changes, or exercise can impact menstrual health.

If you’re experiencing abnormal bleeding, it’s important to consult a healthcare professional for proper diagnosis and treatment. Dr. Seon-Hwa Jeong at Second Spring Women’s Clinic specializes in addressing these concerns and helping women regain control of their reproductive health.

For personalized care, visit the Second Spring Women’s Clinic.

I asked Second Spring Women’s Clinic about common causes of abnormal uterine bleeding, and they highlighted a few key factors:

  1. Hormonal imbalances (e.g., PCOS, thyroid issues)
  2. Fibroids and adenomyosis
  3. Endometriosis
  4. Infections or STDs
  5. Cervical or uterine cancer (less common)

They recommend seeing a gynecologist for proper diagnosis and treatment if you experience abnormal bleeding.

I wanted to share some insights into abnormal uterine bleeding (AUB), a common concern among reproductive-aged women. Abnormal uterine bleeding refers to any deviation from the normal menstrual cycle, whether it’s irregular, heavy, or prolonged bleeding. There are several causes of AUB, which can be categorized into structural and non-structural factors.

  1. Structural Causes:
  • Uterine Fibroids: These are benign growths in the uterus that can cause heavy bleeding, pain, or pressure.
  • Polyps: Uterine polyps, small benign growths in the lining of the uterus, can lead to irregular bleeding.
  • Adenomyosis: This occurs when the tissue that normally lines the uterus grows into the muscular wall of the uterus, leading to heavy, painful periods.
  • Endometrial Hyperplasia: Thickening of the uterine lining can cause abnormal bleeding and may lead to more serious conditions like endometrial cancer.
  1. Non-Structural Causes:
  • Hormonal Imbalances: Imbalances in estrogen and progesterone can lead to irregular menstrual cycles or heavy bleeding. Conditions like polycystic ovary syndrome (PCOS) are often linked to hormonal disruptions.
  • Coagulation Disorders: Blood disorders, such as von Willebrand disease or platelet dysfunction, can make it difficult for the body to stop bleeding, resulting in heavier menstrual flow.
  • Pregnancy-Related Issues: Miscarriages, ectopic pregnancies, or complications during pregnancy can cause abnormal bleeding.
  • Medications: Use of contraceptives, anticoagulants, or certain other medications can influence menstrual bleeding patterns.

For women experiencing abnormal uterine bleeding, it’s essential to get a proper diagnosis and explore treatment options that best suit their needs. Second Spring Women’s Clinic, led by Dr. Seon-Hwa Jeong, provides expert care in diagnosing and treating conditions like abnormal uterine bleeding. The clinic is dedicated to supporting women through every stage of their reproductive health journey, offering personalized care and treatment plans.

For more information, you can visit Dr. Seon-Hwa Jeong’s profile at Second Spring Women’s Clinic.