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Understanding fibroids and abnormal uterine bleeding
gt;gt; Sawson AsAsanie, M.D., MPH: My nameis Sawson AsAsanie, and I'm the director of the Minimally Invasive Gynecologic SurgeryProgram at the University of Michigan. Today we're going to be talkingabout abnormal uterine bleeding, which is a very common condition that affectsmany women in their reproductive years. Abnormal bleeding is any typeof bleeding that is irregular. That could be bleeding in betweenmenstrual cycles, bleeding that is heavier than usual during menstrualcycles, bleeding after intercourse, or even bleeding after someone'sgone through menopause.
There are many different causes ofabnormal bleeding, and some might be due to hormonal changes, some might be due tostructural abnormalities such as lesions within the uterus, and others mightbe due to systemic medical conditions. When a woman has a menstrual cycle that occursgreater than 35 days from start to start, less than 21 days from start to start,or bleeding in between their menses, after intercourse, or aftermenopause, these are all indications that something might be abnormal, andshe should be examined by her physician. Uterine fibroids are a common cause ofabnormal bleeding, and the lifetime risk
of developing uterine fibroids isapproximately 70 to 80 percent. Uterine fibroids are benign tumors ofthe uterus and can cause many symptoms such as abnormal uterine bleeding, which canbe either heavy or irregular, pelvic pain, andor pelvic pressure relatedto the large size of fibroids. However, not all women with uterine fibroidshave symptoms, and the decision to proceed with treatment for uterinefibroids really depends on whether or not those symptoms are bothersome. If you think that your bleedingsymptoms are abnormal or bothersome,
or if you suspect that you might have uterinefibroids, you should talk to your to be evaluated and to see whattreatment options might be best for you.