Unexpected Causes of Abnormal Bleeding

Posted on: 21 April 2022


You're sitting at home, going through your work calendar when you notice your period has lasted longer than usual. Or maybe you were in the middle of your period, and suddenly, it stopped for a few days, then started again.

It can be scary and confusing when something seems off with your body. But did you know that there are many reasons for abnormal bleeding? This article explores some of the most common reasons for abnormal bleeding and the available treatment options.

Hormonal Imbalance 

Abnormal bleeding can have many causes, but one common cause is hormonal imbalance. When the levels of hormones such as estrogen and progesterone are out of balance, it can cause the lining of the uterus to become thin. This problem can lead to irregular periods or heavy bleeding. In some cases, hormonal imbalances can also cause spotting or breakthrough bleeding.

Hormonal imbalances can be caused by different factors, like stress, weight changes, certain medications, and underlying medical conditions. If you think you might have a hormonal imbalance condition, schedule an appointment with your doctor as soon as possible. They can run some tests and determine the best course of treatment for you.

Depending on the cause of your hormonal imbalance, treatment options may include birth control pills or hormone therapy.

Uterine Fibroids 

Uterine fibroids refer to benign (noncancerous) growths in the uterus. They can vary in size, from tiny seedlings to large masses that can distort and enlarge the uterus. Fibroids often grow on the inner or outer uterine wall, or they may develop in the uterine cavity. When they grow in the uterine cavity or close to the endometrial lining, they can cause heavy or irregular bleeding.

Certain medications can help control hormone levels and shrink fibroids. In some cases, surgery may be necessary to remove the fibroids. If the fibroids have invaded large sections of the uterus, the surgeon may opt to remove the uterus (hysterectomy).

Alternatively, the surgeon could remove the fibroids (myomectomy) and leave the uterus intact. In either case, the goal is to stop the abnormal bleeding and enable you to return to a regular menstrual cycle. With proper treatment, uterine fibroids need not cause any long-term problems.


Endometriosis is a condition where the tissue that lines the uterus (the endometrium) grows outside of the uterus. This disorder can cause abnormal bleeding, as well as pain and cramping. In some cases, the bleeding may be heavy and prolonged, which can lead to anemia. 

Depending on the severity of your condition, your doctor may recommend different treatment of abnormal bleeding options. For mild cases, over-the-counter or prescription pain medication may be enough to relieve symptoms. In severe cases, surgery may be necessary to remove the abnormal tissue.