Because there can be many potential causes of abnormal vaginal bleeding, it may take some time, and answering a lot of questions from your gynecologist in order to pinpoint exactly what is going wrong. It is advised to write down notes about your symptoms and when they occur, as all of this will contribute to your provider’s diagnosis.
Your gynecologist is also likely to perform a wide variety of tests to investigate what may be leading to your abnormal vaginal bleeding. This usually begins with a basic blood test, a pregnancy test, or STI testing. If these preliminary tests do not reveal any useful information, then your physician will likely move on to an ultrasound or other diagnostic procedures like a biopsy or hysteroscopy.