Women's Health Texas – San Antonio

Dr. Gonzalez Discusses Abnormal Uterine Bleeding

A discussion about abnormal uterine bleeding with OBGYN Gabriel Gonzalez

Many women are unsure how to identify abnormal uterine bleeding and they might not know what causes it. Patients should call our San Antonio OBGYN or another physician when they notice any bleeding or spotting that is unusual for them. Dr. Gonzalez says, “Don’t look it up on the internet or ask your family and friends. Call us so we can find the cause of the problem.”

What is abnormal uterine bleeding?

If women experience the type of bleeding listed below, they should contact their OBGYN.

  • Spotting or bleeding between periods
  • Heavy bleeding during menstruation that soaks more than one pad or tampon in an hour
  • Bleeding that lasts longer than seven days
  • Lack of menstruation for three to six months or more
  • Bleeding or spotting after sexual intercourse
  • Any bleeding or spotting after menopause

Women’s menstrual cycles vary, but when cycles are shorter than 21 days or longer than 35 days, women should discuss it with their physician. According to OBGYN Gabriel Gonzalez, “Somebody’s normal might not be normal for someone else. Maybe a woman’s bleeding starts to differ from what they usually experience. I ask more questions and get more details and we go from there.”

What causes irregular uterine bleeding?

Many problems and conditions cause abnormal uterine bleeding. OBGYN Gabriel Gonzalez knows that many women worry when they experience irregular bleeding, but he reassures patients. “I know that a lot of patients worry that the cause might be a malignancy, but the majority of the time the cause is benign, meaning noncancerous.” Here are some possible causes of abnormal bleeding.

  • Fibroids or polyps
  • Adenomyosis, a condition where the endometrial lining grows into the uterine wall
  • Irregular periods and problems with ovulation
  • Hypothyroidism
  • Polycystic ovary syndrome, or PCOS
  • Medications like hormonal birth control or intrauterine devices, or IUDs
  • Bleeding disorders
  • Malignancy

OBGYN Gabriel Gonzalez has the expertise to diagnose and treat unusual bleeding

When patients tell Dr. Gonzalez that they are experiencing abnormal uterine bleeding, he begins by asking questions and ordering various bloodwork to check for problems like bleeding disorders and hormonal imbalances. He customizes the tests to the patient’s symptoms.

Dr. Gonzalez also performs a pelvic exam. If he suspects structural problems, he may order an endometrial biopsy, ultrasound procedures or other diagnostic workups. Our San Antonio OBGYN develops a state-of-the-art treatment plan based on each woman’s symptoms and the cause of the abnormal bleeding.

If you are looking for a compassionate, highly trained and skilled San Antonio OBGYN, contact us to make an appointment with Gabriel Gonzalez MD.