{"id":1216,"date":"2022-09-02T11:11:14","date_gmt":"2022-09-02T11:11:14","guid":{"rendered":"https:\/\/www.toplinemd.com\/north-florida-gynecology-specialists\/?page_id=1216"},"modified":"2026-04-17T08:31:13","modified_gmt":"2026-04-17T12:31:13","slug":"abnormal-bleeding","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/north-florida-gynecology-specialists\/abnormal-bleeding\/","title":{"rendered":"Abnormal Bleeding"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-min-height:400px;--awb-background-image:linear-gradient(180deg, rgba(0,0,0,0.2) 0%,rgba(0,0,0,0.2) 100%),url(https:\/\/www.toplinemd.com\/north-florida-gynecology-specialists\/wp-content\/uploads\/sites\/56\/2020\/04\/all_headers_img.jpeg);;--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:#ffffff;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:72;line-height:1;\">Abnormal Bleeding Treatment in Jacksonville, FL<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4%;--awb-padding-right:0px;--awb-background-color:#ffffff;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><h2>Abnormal Bleeding<\/h2>\n<p>Abnormal uterine bleeding (AUB) is a common gynecologic complaint, accounting for one-third of outpatient visits to gynecologists. AUB has many causes. The most common sources of AUB in nonpregnant women are structural uterine pathology (eg, fibroids, endometrial polyps, adenomyosis), ovulatory dysfunction (not ovulating from age, PCOS, thyroid disorders, other), and medications. Less common is AUB related to bleeding disorders, blood-thinners, or cancers of the uterus or cervix.<br \/>\nBleeding in any of the following situations is considered abnormal uterine bleeding:<\/p>\n<ul>\n<li>Bleeding or spotting between periods<\/li>\n<li>Bleeding or spotting after sex<\/li>\n<li>Heavy bleeding during your period<\/li>\n<li>Menstrual cycles (from day one of a bleed to day one of the next bleed) that are longer than 38 days or shorter than 24 days<\/li>\n<li>Bleeding duration longer than 9 days<\/li>\n<li>Any bleeding, even light pink or brown spotting, after menopause<\/li>\n<\/ul>\n<p>Based on your symptoms or age, you may need an ultrasound, endometrial biopsy, hysteroscopy, sonohysterogram and\/or an MRI\/ CT scan. You may also require a pap and testing for sexually transmitted infections. Management may be medical or surgical based on symptoms and etiology.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:50px;--awb-padding-bottom:50px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.3333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two mob-center-text no-brakes\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-right fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:40;line-height:1.25;\"><span style=\"color: #3de1f7;\">5 Things <\/span><br \/>\nWe Want You<br \/>\nTo Know About<br \/>\n<span style=\"color: #3de1f7;\">Abnormal Uterine Bleeding<\/span><\/h2><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-padding-top:50px;--awb-padding-right:50px;--awb-padding-bottom:50px;--awb-padding-left:50px;--awb-padding-top-small:20px;--awb-padding-right-small:20px;--awb-padding-bottom-small:20px;--awb-padding-left-small:20px;--awb-overflow:hidden;--awb-bg-color:#ffffff;--awb-bg-color-hover:#ffffff;--awb-bg-size:cover;--awb-border-radius:13px 13px 13px 13px;--awb-width-large:66.6666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><ul style=\"--awb-size:16px;--awb-iconcolor:#3de1f7;--awb-textcolor:#000000;--awb-line-height:27.2px;--awb-icon-width:27.2px;--awb-icon-height:27.2px;--awb-icon-margin:11.2px;--awb-content-margin:38.4px;\" class=\"fusion-checklist fusion-checklist-1 fusion-checklist-default type-icons\"><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">Regular uterine bleeding (appears monthly on schedule) is most commonly caused by fibroids (true for 40% of patients)<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">Abnormal bleeding deserves workup to rule out abnormal paps, uterine cancer, infection, uterine pathology, polyps, and other sources<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">Uterine cancer risk is increased by obesity, diabetes, PCOS, anovulation, age &gt;45, tamoxifen, unopposed use of estrogen hormone therapy, or a family history of Lynch syndrome<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">Progesterone is often helpful in reducing bleeding by counteracting growth of uterine gland tissue called endometrium<\/div><\/li><li class=\"fusion-li-item\" style=\"\"><span class=\"icon-wrapper circle-no\"><i class=\"fusion-li-icon fa-angle-right fas\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-li-item-content\">Uterine bleeding is easily evaluated by a camera in the uterus (hysteroscopy) and a biopsy of the internal uterine gland tissue (endometrium) with 95% sensitivity for cancers<\/div><\/li><\/ul><\/div><\/div><\/div><\/div><div class=\"fusion-bg-parallax\" data-bg-align=\"center bottom\" data-direction=\"right\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.5\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"https:\/\/www.toplinemd.com\/north-florida-gynecology-specialists\/wp-content\/uploads\/sites\/56\/2020\/04\/Make_an_appointment_img.jpg\" data-bg-repeat=\"false\" data-bg-gradient-type=\"linear\" data-bg-gradient-angle=\"180\" data-bg-gradient-start-color=\"rgba(2,2,2,0.3)\" data-bg-gradient-start-position=\"0\" data-bg-gradient-end-color=\"rgba(0,0,0,0.3)\" data-bg-gradient-end-position=\"100\" data-bg-radial-direction=\"center center\" ><\/div><div 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