Reasons for Abnormal Uterine Bleeding

Reasons for Abnormal Uterine Bleeding

Abnormal uterine bleeding refers to any unusual or irregular bleeding that occurs from the uterus outside of the normal menstrual cycle. This condition can be caused by various factors and may occur at different stages of a woman’s life. To diagnose the right cause, it is important to consult an experienced doctor for abnormal uterine bleeding in South Delhi. Here are some of the common causes of the condition.

What Are the Reasons for Abnormal Uterine Bleeding?

Hormonal Imbalance

Fluctuations in hormone levels, particularly estrogen and progesterone, can disrupt the normal menstrual cycle and lead to abnormal bleeding. Conditions like polycystic ovary syndrome (PCOS), thyroid disorders, and perimenopause can cause hormonal imbalances, resulting in irregular or prolonged bleeding.

Uterine Fibroids

Fibroids are noncancerous growths that develop in the uterus. They can cause heavy or prolonged menstrual bleeding, often accompanied by pain and cramping. Depending on their size and location, fibroids may require medical intervention or surgery.

Endometrial Polyps

These are growths that occur in the lining of the uterus (endometrium). Polyps can cause irregular bleeding, particularly after intercourse or during menopause. While usually benign, they may require removal if symptomatic.


This condition involves the abnormal growth of the endometrial tissue into the muscular wall of the uterus. It can lead to heavy or prolonged menstrual bleeding, severe cramping, and pelvic pain.

Endometrial Hyperplasia

This condition is characterized by excessive growth of the uterine lining. It can cause irregular bleeding, and if left untreated, it may increase the risk of developing endometrial cancer.

Medications or Medical Procedures

Certain medications, such as blood thinners or hormonal therapies, can contribute to abnormal uterine bleeding as a side effect. Additionally, procedures like intrauterine device (IUD) insertion or endometrial biopsy can occasionally cause bleeding.


Infections or Sexually Transmitted Infections (STIs)

Infections of the uterus, cervix, or vagina, such as pelvic inflammatory disease (PID) or certain STIs, can cause abnormal bleeding. These conditions often present with other symptoms like pain, discharge, or fever.

Blood Disorders

Disorders affecting the clotting factors in the blood, such as von Willebrand disease or platelet dysfunction, can lead to heavy or prolonged bleeding.

Cancerous or Pre-cancerous Conditions

In some cases, abnormal uterine bleeding may be a sign of endometrial cancer or precancerous changes in the uterus. Women with persistent, unexplained bleeding should consult a healthcare professional for further evaluation.

It’s important to note that each individual’s situation may vary, and a proper medical evaluation is crucial for accurate diagnosis and appropriate treatment. If you are experiencing abnormal uterine bleeding, consult Dr. Ruchi Tandon, the best gynecologist in South Delhi for early assessment and treatment.

Hysteroscopy – Why and How?

Hysteroscopy is a valuable diagnostic and therapeutic procedure in the field of gynecology. It offers several benefits and is commonly performed to address various uterine issues. An experienced doctor specializing in minimally invasive surgery in South Delhi performs this technique for various purposes. Let us see why.

Why Hysteroscopy is Performed?

Here are some reasons why hysteroscopy is performed:

Diagnosis of Abnormal Uterine Bleeding

Hysteroscopy helps investigate the underlying causes of abnormal uterine bleeding, such as heavy or prolonged menstrual periods, postmenopausal bleeding, or intermenstrual bleeding. It allows doctors to visually examine the uterine lining and identify conditions such as uterine polyps, fibroids, endometrial hyperplasia, or uterine cancer.

Evaluation of Infertility

It plays a crucial role in evaluating and addressing infertility issues. It enables doctors to assess the uterine cavity for abnormalities that may hinder conception or implantation. Conditions like uterine septum, intrauterine adhesions (Asherman’s syndrome), or scar tissue can be diagnosed and treated during the procedure, improving the chances of a successful pregnancy.

Treatment of Uterine Abnormalities

In addition to diagnosis, hysteroscopy allows for therapeutic interventions. It can be used to remove uterine polyps or fibroids, resect uterine septum, and release intrauterine adhesions. By addressing these abnormalities, hysteroscopy can alleviate symptoms, improve fertility outcomes, and enhance overall uterine health.

How is Hysteroscopy Performed?

Hysteroscopy is a minimally invasive procedure that involves the use of specialized instruments to examine and treat the uterus. Here is how it is done:


Before the procedure, the patient may receive general or local anesthesia, depending on the extent of the hysteroscopy. This ensures comfort and pain control during the procedure.

Insertion of the Hysteroscope

The hysteroscope, a thin and flexible instrument with a light source and camera, is gently inserted through the vagina and cervix, and into the uterus. Carbon dioxide gas or a saline solution may be used to expand the uterine cavity, providing a clearer view of the area.

Visual Examination

Real-time images captured by the hysteroscope’s camera are projected onto a monitor, allowing the doctor to visually examine the uterine lining. This enables the identification of any abnormalities or pathologies.

Therapeutic Interventions

If necessary, therapeutic procedures can be performed during hysteroscopy. This may include the removal of polyps or fibroids, resection of uterine septum, or lysis of adhesions. Specialized instruments are used to carry out these interventions.

Post-procedure Care

After the hysteroscopy, the patient is monitored in a recovery area until the effects of anesthesia wear off. Most hysteroscopies are performed on an outpatient basis, allowing patients to return home the same day. Mild cramping or spotting may occur, but these usually subside within a few days.

Hysteroscopy is a valuable procedure used in gynecology for diagnostic and therapeutic purposes. It provides a comprehensive examination of the uterus, allowing for the identification and treatment of various uterine abnormalities. Dr. Ruchi Tandon, an experienced Gynecologist Doctor in South Delhi is an expert in performing hysteroscopy.

Endometriosis – Causes, Symptoms, & Treatment

Endometriosis is a chronic condition. It occurs when tissue similar to the lining of the uterus, known as endometrial tissue, grows outside the uterus. This misplaced tissue can cause various symptoms and significantly impact a woman’s quality of life. In this article, we will explore the causes, symptoms, and treatment options available for endometriosis. However, it is important to consult an endometriosis doctor in South Delhi timely to prevent the worsening of the condition.


What Are the Causes of Endometriosis?

The exact cause of endometriosis remains unknown, but several factors believed to contribute to the condition are:

Retrograde menstruation: Backflow of menstrual blood through the fallopian tubes into the pelvic cavity, allowing endometrial cells to implant and grow.

Hormonal imbalance: Estrogen, a hormone that stimulates the growth of the endometrium, may promote the development of endometriosis.

Immune system dysfunction: Issues with the immune system may prevent the body from recognizing and eliminating misplaced endometrial tissue.

Genetic factors: Endometriosis appears to run in families, suggesting a genetic predisposition to the condition.

Surgical scar implantation: Endometrial cells may attach to surgical incisions, such as those from a Cesarean section or hysterectomy, and grow outside the uterus.


What Are the Symptoms of Endometriosis?

The symptoms of endometriosis can vary in severity and presentation, and some women may experience no symptoms at all. However, the most common signs include:

Pelvic pain: This is the primary symptom, ranging from mild discomfort to debilitating pain during menstruation, intercourse, or throughout the menstrual cycle.

Dysmenorrhea: Severe menstrual cramps that may cause nausea, vomiting, or fainting.

Chronic pelvic pain: Persistent pain in the lower back and pelvis.

Painful intercourse: Known as dyspareunia, it can occur during or after sexual activity.

Irregular bleeding: Heavy or irregular menstrual periods.

Infertility: Difficulty in conceiving or carrying a pregnancy to term.


What Are the Treatment Options for Endometriosis?

Endometriosis has no cure. However, several treatment options for managing the symptoms and improving quality of life are:

Pain medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve pain and reduce inflammation.

Hormonal therapy: Birth control pills, hormonal patches, or intrauterine devices containing progestin or a combination of estrogen and progestin can help regulate hormone levels and reduce symptoms.

Gonadotropin-releasing hormone (GnRH) agonists: These medications temporarily suppress estrogen production, inducing a menopause-like state and reducing endometrial growth.

Laparoscopic surgery: A minimally invasive surgical procedure to remove endometrial implants and scar tissue, improving pain symptoms and fertility in some cases.

Hysterectomy: In severe cases where other treatments have failed, the removal of the uterus and sometimes the ovaries may be considered.



Endometriosis is a complex condition that requires a multidisciplinary approach for diagnosis and management. Early recognition of symptoms and timely intervention can help alleviate pain, preserve fertility, and improve the overall quality of life for women.

If you suspect you may have endometriosis, consult Dr. Ruchi Tandon, the best gynecologist in South Delhi.