Heavy and Abnormal Bleeding in Lusaka

When bleeding should be assessed

Bleeding is worth investigating when it is heavier than it used to be, lasts longer, happens between periods, follows sex, or happens at all after menopause.

• Periods soaking through protection or lasting longer than usual
• Bleeding between periods
• Bleeding after sex
• Any bleeding after menopause
• Tiredness, breathlessness or dizziness from blood loss

Finding the cause

Assessment combines your bleeding history with examination, ultrasound and blood tests including a check for anaemia. Depending on the findings, a sample of the womb lining or a camera examination may be needed.

Common causes

Fibroids, polyps, hormonal imbalance, infection, problems related to pregnancy, and changes in the lining of the womb are all possible. Bleeding after menopause is always investigated properly.

• Fibroids or polyps
• Hormonal imbalance
• Infection or inflammation
• Pregnancy-related bleeding
• Changes in the lining of the womb

Treatment

Treatment follows the cause: correcting anaemia, hormonal or non-hormonal medication to control bleeding, removal of polyps or fibroids, or surgery where it is the appropriate option. Your plans for pregnancy shape the choice.