We offer a comprehensive Obstetrics & Gynecology care in NYC for women of all ages. At our ob gyn nyc clinic of we provide a full range of gynecologic services, from annual check-ups and routine pap smears to treatment of Abnormal Uterine Bleeding and gyn procedures, surgeries performed in our office or in the hospital. Our state of the art gynecology NYC facility equipped with a latest obgyn equipment. Dr. Zelmanovich MD is a leading ob gyn doctor, 2018 America’s Top Gynecologist and among the top gynecologists NYC.
Abnormal Uterine Bleeding
Abnormal uterine bleeding is defined as increased or decreased vaginal bleeding when compared to your normal periods, after menopause, or during pregnancy. Specifically, you shouldn’t be bleeding after period ends or spotting between periods, after sex, or after your cycles have ceased due to menopause.
It’s also considered abnormal to experience prolonged menstrual bleeding or bleeding more heavily than usual during your regular menstrual cycle. You should contact your gynecologist for an appointment in any of these cases. Abnormal uterine bleeding should always be evaluated with a thorough consultation and examination by a physician for an accurate diagnosis and treatment plan as it may be a symptom or sign of a serious illness or condition.
A Normal Menstrual Cycle, Defined
A normal menstrual cycle is usually 28 days with up to seven days longer still considered within the normal realm, strictly speaking. However, your Midtown Manhattan gynecologist, Dr. Zelmanovich may tell you that as long as the number of days in your cycle is consistent, whether that’s 29 days or 40 days, then that’s normal for you. Additionally, if your periods are typically heavy or usually last for 10 days rather than five — again, that may be normal for you.
What to notice are any changes in your cycle, especially a disruption to your normally consistent process. If the number of days in your cycle changes each time — for example, one cycle is 32 days, then next cycle is 28, the next is 40 — then that’s considered abnormal, and you should contact Midtown gynecologist, Dr. Zelmanovich. These types of abnormalities are considered normal only when:
- You’re in the early years of your cycle, around ages nine to 16, as your body adjusts and finds its own rhythm.
- You’re over the age of 50 and your cycle has become inconsistent. You’re more than likely experiencing perimenopausal bleeding as your body prepares for menopause.
What Causes Abnormal Uterine Bleeding?
Abnormal uterine bleeding should always be evaluated with a thorough consultation and examination by a physician for an accurate diagnosis and treatment plan as it may be a symptom or sign of a serious illness or condition. If the abnormal uterine bleeding you’re experiencing isn’t due to being young or being perimenopausal, there may be many factors to consider before your OBGYN NYC can reach a diagnosis. Some of the things your gynecologist, Dr. Zelmanovich will check immediately include:
- If there is a physical reason for the changes, such as:
- An abnormal uterus
- A forgotten tampon
- A malfunctioning IUD
- A medication you may be taking, such as tamoxifen for cancer
- If you’ve had intercourse recently
- Hormonal changes:
- If you stopped taking or changed your birth control method
- Perhaps you’re suffering from hyperthyroidism or hypothyroidism
- You have a medical condition such as polycystic ovary syndrome
- If you are pregnant, it may relate to your pregnancy, such as:
- The stage of your pregnancy
- If your pregnancy is ectopic
- If you’re experiencing fluctuating hormone levels due to the pregnancy
- Checking for infections, such as:
- Pelvic Inflammatory disease, or PID
- If there’s a medical condition that’s causing the bleeding, such as:
- Celiac’s Disease
- A kidney or liver disease
- A blood clotting disorder of any kind
- Whether you’re experiencing the growth of non-cancerous tissues, such as:
- If you had surgery recently on any part of your reproductive system
- Whether you experienced any trauma to your vagina or cervix, such as blunt trauma or sexual abuse.
Shortening the List of Causes
Your OBGYN starts with a physical exam to rule out certain diagnoses such as trauma or a forgotten tampon, which should be immediately apparent. The gynecologist will question you about your menstrual cycle, sexual habits, personal history and family history to determine a baseline of what’s normal for your body. If you don’t keep track of your cycles, you should start doing so now. Once Dr. Zelmanovich has examined you and determined your baseline, some tests for further evaluation might include:
- Blood tests, which are common, routine and relatively painless. A blood test allows the Dr. Zelmanovich to check your blood count and hormone levels, as well as rule out any blood diseases.
- Sonohysterography, a test whereby images are made of your uterus using sonogram technology and the aid of a tube that pushes sterile saline, a liquid, into your uterus to aid in the clarity of the images. This test allows the gynecologist, Dr. Zelmanovich to see any polyps or masses in your uterus. Regarding this test:
- There is little to no discomfort with this test, although you may experience mild, period-like cramping.
- The best time to schedule this test is seven to 10 days after your period ends. You should not be on your period or pregnant during this test.
- You may resume normal activities after the test with the recommendation that you wear a pad, as the fluids used in the test may seep out of your vagina throughout the day. Some of the discharge may look a little bloody, but that’s normal and not cause for alarm.
- Ultrasound, which is a test that uses sound waves to create a picture of your reproductive organs. This is a safe, noninvasive diagnostic test. Your gynecologist may have special instructions for you, but generally there is no prep for this test.
- Magnetic resonance imaging (MRI), a common diagnostic tool that uses powerful magnets to create an image of your reproductive internal organs. This test, while noninvasive and painless, can be very loud and is done while lying down inside a large tube. Patients with issues of claustrophobia may feel discomfort.
- Endometrial biopsy, which is the removal of a very small tissue sample from your endometrium — the lining of the uterus — using a catheter and a suction device. The sample is sent out to a lab for analysis. This procedure, like the sonohysterography test, may cause some cramping during the test and discharge with small amounts of bleeding after the test. You may find that you have bleeding and cramping for several days.
Diagnosis and Treatment
Once a diagnosis has been established via one of the above methods, your OBGYN in NYC can recommend a treatment. Treatment options vary as widely as the many possible diagnoses, but generally uterine or endometrial bleeding requires either medical treatment or surgery to get the bleeding to stop. Some factors your Dr. Zelmanovich reviews when considering treatments:
- Your age
- Whether you want to be able to get pregnant in the future
- The cause of the bleeding in the first place
If you are experiencing any bleeding that is outside your body’s normal behavior, see your gynecologist immediately so that a diagnosis can be established and treatment can begin to stop the loss of blood. Abnormal uterine bleeding should always be evaluated with a thorough consultation and examination by a physician for an accurate diagnosis and treatment plan as it may be a symptom or sign of a serious illness or condition.
Important Reminder: This information is only intended to provide guidance, not a definitive medical advice. Please consult obgyn NYC doctor about your specific condition. Only a trained, experienced board certified gynecologist can determine an accurate diagnosis and proper treatment.
Do you have questions about Abnormal Uterine Bleeding? Would like to schedule an appointment with the best ob gyn in NYC, Dr. Anat Zelmanovich, please contact our obgyn Manhattan office.
Dr. Anat Zelmanovich, Gynecologist (Gynecologist NYC, Midtown OB/GYN)
New York, NY 10010
☎ (212) 533-4575
Dr. Anat Zelmanovich, Gynecologist (Gynecologist NYC, Upper East Side OB/GYN)
New York, NY 10028
☎ (212) 533-4575