Abnormal Menstrual Bleeding Specialist

Yuri Prikoupenko, MD, FACOG -  - Gynecologist

Surgical and Office Gynecology

Yuri Prikoupenko, MD, FACOG

Gynecologist located in Rockville, MD

Abnormal uterine bleeding is a common problem for many women, and a wide range of factors can cause it. Dr. Yuri Prikoupenko, who specializes in women's health services and gynecology in Rockville, Maryland, offers comprehensive evaluation and treatment for women experiencing abnormal uterine bleeding. He and his outstanding medical team are dedicated to patient safety and excellent medical care. They can help you overcome this serious medical condition and prevent further complications that may jeopardize your health. Call or use the online booking tool to make an appointment.

Abnormal Menstrual Bleeding Q & A

What are signs of abnormal uterine bleeding?

The following types of uterine bleeding may be considered abnormal:

  • Bleeding after sex
  • Bleeding between periods
  • Bleeding after menopause
  • Sudden spotting or heavy bleeding

What causes abnormal uterine bleeding?

Abnormal uterine bleeding may be caused by many factors that can only be determined by an experienced women's health specialist. The most common causes include:

Problems with ovulation

Various factors can cause problems with ovulation, including stress. If ovulation does not occur, the lining of the uterus keeps thickening, thereby causing irregular spotting, and bleeding or heavy periods. Seeking medical help is essential in preventing further complications such as endometrial polyps or cancer of the lining of the uterus.

Problems with the uterus

Fibroids: Growths on the inside of the uterus that can vary in size and intensity. Many women who suffer from fibroids do not experience any symptoms right away; however, depending on the size and location of the fibroids, some patients may experience a range of complications, including abnormal bleeding.

Polyps: Also known as endometrial polyps, they are growths along the lining of the uterus. Although very common, polyps often lead to abnormal bleeding and are caused by ovulation problems or some types of estrogen hormone therapy.

Adenomyosis: Occurs when the lining of the uterus grows into the wall of the uterus, thereby causing the uterus to become enlarged. If the lining grows into the muscle, some of the blood may be trapped. The most common symptoms of adenomyosis are cramping and abnormal uterine bleeding.

Other causes include:

  • Menopause tubal pregnancy or miscarriage
  • Use of birth control and other types of hormonal medications
  • Infection
  • Eating and exercise habits
  • Stress
  • Certain types of cancer

How is abnormal uterine bleeding evaluated & treated?

To diagnose abnormal uterine bleeding, Dr. Yuri examines your medical history, stress levels, as well as eating and exercise habits. Based on your symptoms, further diagnosis may require the following:

  • Administration of tests to evaluate ovulation
  • Physical examination of the uterus
  • Ultrasound
  • Biopsy
  • Hysteroscopy
  • Endometrial Ablation
  • Laparoscopic surgery

Treatment of abnormal uterine bleeding depends on the cause of the condition. Dr. Yuri is well-versed in numerous modalities, including:

  • Birth control pills to control the bleeding
  • Antibiotics or anti-inflammatory medication therapy
  • Surgical Gynecology to remove fibroids or polyps
  • Endometrial ablation