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Abnormal Vaginal Bleeding...

 

In most women this is due to an hormonal imbalance i.e. too much oestrogen and little progesterone. Other causes of abnormal uterine bleeding include:

 

Uterine polyps

 

Uterine fibroids

 

Ectropion (inflammation of the cervix) Repair of recurrent prolapse

 

Uterine cancer - this is rare


Investigations

 

Ultrasound of the pelvis

 

Endometrial pipelle

 

Hysteroscopy - if there are concerns, a sample is removed from the lining of the uterus. This is checked in the histology department for abnormal cells.


Treatment

 

This will depend on the cause. If it is due to an hormonal imbalance the oral contraceptive pill may be appropriate.

If polyps are present at the time of the hysteroscopy, it may be possible to remove these from the lining of the uterus.

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