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Abnormal Bleeding

Conveniently located to serve Los Angeles, Van Nuys, Burbank, Huntington Park, San Fernando and Northridge

Abnormal uterine bleeding is a common reason for women of all ages to consult their family physicians. Terms used to describe patterns of abnormal uterine bleeding are based on periodicity and quantity of flow . Dysfunctional uterine bleeding (DUB), defined as abnormal uterine bleeding not caused by pelvic pathology, medications, systemic disease or pregnancy, is the most common cause of abnormal uterine bleeding but remains a diagnosis of exclusion.

Terminology Used to Describe Abnormal Uterine Bleeding

Term Definition
Menorrhagia Prolonged or excessive bleeding at regular intervals
Metrorrhagia Irregular, frequent uterine bleeding of varying amounts but not excessive
Menometrorrhagia Prolonged or excessive bleeding at irregular intervals
Polymenorrhea Regular bleeding at intervals of less than 21 days
Oligomenorrhea Bleeding at intervals greater than every 35 days
Amenorrhea No uterine bleeding for at least 6 months
Intermenstrual Uterine bleeding between regular cycles

Differential Diagnosis of Abnormal Uterine Bleeding

  • Complications of pregnancy
  • Intrauterine pregnancy
  • Ectopic pregnancy
  • Spontaneous abortion
  • Gestational trophoblastic disease
  • Placenta previa
  • Placenta previa
  • Infection
  • Cervicitis
  • Endometritis
  • Trauma
  • Laceration, abrasion
  • Foreign body
  • Malignant neoplasm
  • Cervical
  • Endometrial
  • Ovarian
  • Benign pelvic pathology
  • Cervical polyp
  • Endometrial polyp
  • Leiomyoma
  • Adenomyosis
  • Systemic disease
  • Hepatic disease
  • Renal disease
  • Coagulopathy
  • Thrombocytopenia
  • von Willebrand’s disease
  • Leukemia
  • Medications/iatrogenic
  • Intrauterine device
  • Hormones (oral contraceptives, estrogen, progesterone)
  • Anovulatory cycles
  • Hypothyroidism
  • Hyperprolactinemia
  • Cushing’s disease
  • Polycystic ovarian syndrome
  • Adrenal dysfunction/tumor
  • Stress (emotional, excessive exercise)

Fast and easy, straight forward explanations, first time in this situation and it has been a overall well and safe comfortable expreience.

My procedure went smooth. The doctors and nurses are very attentive and caring here. They have flexibility appointment schedule. The office is well-sanitized as well. Great overall experience!

This clinic is very professional. All the staff members are really nice and explain everything to you. All the info you need they have it just ask!

Service was amazing. Cindy and all of the staff were amazing they made me feel safe and at home. Thank you guys so much for all the attention and great service.

Repeat patient here. Dr K and the team are super caring. Appreciate the followup calls. The office is nice and clean. Highly recommend!

The staff were very kind and all were working very hard hard to address all the patients there. I was able to get a same day appointment.

The staff was very friendly and welcoming. The staff was very friendly as soon as we walked in the door. They were very prompt and helped us out right away. The made the experience easy.

All my questions were answered and I did not feel judged or unsafe. It was overall a great experience.

After researching up so many clinics, I decided to go to Her Smart Choice. All the medical staff members and doctor himself were friendly and understanding. No one was judgemental and questioned my decision.