About Irregular Bleeding

Chronic Irregular Menstrual Bleeding

At some point in their lives, nearly all women will experience irregular menstrual bleeding to some extent. Usually experienced during puberty or near menopause, irregular bleeding is most often caused by hormonal imbalances. However, irregular menstrual bleeding can also be a symptom of more serious conditions. Women who routinely experience bleeding between periods, have especially heavy flow, or do not experience regular monthly periods may need to seek the advice of a Uterine Ablation Specialist. If you have a serious vaginal or uterine condition, you may need to have surgery to remove growths, destroy the lining of the uterus, or in severe circumstances, completely remove the uterus via hysterectomy. If you require surgery to address irregular bleeding issues, the minimally invasive surgeries performed by miVIP can treat the source of your problem.


Approximately half of the 600,000 annual hysterectomies performed in the U.S. are due to uterine fibroids. It is believed that anywhere from 6% to 15% of all women are affected by anovulation. Both of these conditions influence irregular bleeding.

Risk Factors and Causes of Irregular Menstrual Bleeding

There are many different reasons you may be experiencing irregular bleeding, ranging from benign tumors that do not need to be treated to cancerous growths on the lining of the uterus (endometrius). The most common causes are:
  • Abnormal Hormones/Anovulation—unbalanced estrogen or progesterone levels that prevent ovulation or cause dysfunctional uterine bleeding
  • Uterine Fibroids—benign growths that produce few symptoms and are rarely treated
  • Cervical/Endometrial Cancer—malignant tumors in the cervix or uterus
  • Endometrial Polyps—non-cancerous growths that can be removed with a simple outpatient procedure

Common Symptoms

Some of the most common indicators of irregular or dysfunctional uterine bleeding (DUB) are:
  • Passing many or large blood clots during periods
  • Periods lasting longer than a week
  • Bleeding between periods
  • Abnormally heavy menstrual bleeding—soaking a pad within an hour

Treatment Options for Irregular Menstrual Bleeding

Surgery only helps treat irregular bleeding in certain situations. In minor cases, a doctor may prescribe an injectable hormone or an oral medication to regulate your body’s menstrual cycle. Some cases can be treated with the help of a uterine ablation specialist. If your physician recommends it, you may need to have one of the following procedures to control the bleeding:
  • Uterine Ablation—destroying the lining of the uterus to decrease the risk of irregular bleeding. Some of the most common methods of destroying the endometrius are:
    • Extreme cold
    • Electrosurgery
    • Microwaves
    • Dilation and Curettage (D and C)
  • Hysteroscopy—Removal of benign endometrial polyps that grow on the lining of the uterus with the help of a tiny camera inserted through the vagina.
  • Hysterectomy—Complete removal of the uterus.
To consult with an expert and learn more about irregular bleeding and different treatment options, call a miVIP Surgical Center at 855-496-4847 for an appointment.