🩺 Affordable Private Healthcare

Abnormal Bleeding

Price
From £175

Turnaround

Varies

Appointment

30 - 60 minutes

Girl Having Period Pain due to abnormal bleeding

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Care Quality Commission
Primary Care & Diagnostics Finalist Award

pound iconPrice: From £175

Turnaround: Varies

Appointment: 30 – 60 minutes

Bleeding Between Periods

Bleeding during a regular menstrual period should last between 2 and 5 days. Bleeding that lasts for longer or shorter than this duration (resulting in a very short or long menstrual cycle) constitutes abnormal bleeding.

Excessively light or very heavy periods (menorrhagia), absence of a period (amenorrhoea), or bleeding between periods (metrorrhagia) also fall under the category of abnormal bleeding.

Abnormal Uterine Bleeding

There are several conditions that can cause abnormal bleeding as a symptom, such as endometriosis, irregular hormone levels (including oestrogen, progesterone, insulin, or thyroid hormones), various contraceptive methods, PCOS, cysts, fibroids, pregnancy, miscarriage, or functional uterine problems.

If you are experiencing any of the following symptoms, it is advisable to make an appointment with one of our doctors: an unusually short or long menstrual cycle (bleeding every three weeks or less, or less than every five weeks), excessively heavy periods, or severe pain during your period (such as having to change your sanitary products every hour or being unable to manage your flow with pads).

Reasons For Unusual Bleeding

Bleeding between periods can be caused by several factors. Hormonal imbalances, such as fluctuations in oestrogen and progesterone, can disrupt your cycle. Birth control methods, including pills, patches, or IUDs, may also cause spotting, especially when first used.

Uterine fibroids or polyps, endometriosis, and pelvic inflammatory disease (PID) can lead to abnormal bleeding. Early pregnancy or complications such as a miscarriage or ectopic pregnancy might cause spotting as well. Thyroid disorders and, although less common, certain cancers like cervical or endometrial cancer can also result in irregular bleeding.

Woman doctor smiling
Serious doctor with arms crossed

When To See A Doctor

It is important to consult a healthcare provider if you experience any of the following symptoms:

  • Spotting or bleeding after menopause.
  • Any bleeding that you find unusual or concerning.
  • Bleeding accompanied by severe pain or discomfort.
  • Abnormal bleeding following a missed or irregular period.
  • Heavy, persistent bleeding that lasts for more than a few days.

Statistics​

of cervical cancer cases are preventable
0 %
women are affected by endometriosis
0 In 10
women are affected by PCOS
0 In 10
New cases of uterine cancer, 2016-2018, UK
0

The Impact Of Lifestyle Factors

Lifestyle factors can significantly impact menstrual bleeding patterns. Here’s how stress, exercise, and diet play a role.

Stress: Can disrupt hormonal balance and lead to irregular bleeding.
Excessive Exercise: May affect hormonal balance and menstrual patterns.
Significant Weight Changes: Can cause hormonal imbalances that impact bleeding.

  • Balanced Diet: Supports hormonal health and stable menstrual cycles.
  • Stress Management: Techniques like relaxation can help regulate menstrual patterns.
  • Moderate Physical Activity: Regular exercise, without excess, contributes to menstrual stability.

How To Book A Private Doctor Appointment?

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On the online booking engine select the “appointment type” you need.

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You will be seen by one of our friendly doctors or trained clinicians.

The Procedure

preparing for appointment

Pre-Appointment

Keep a detailed record of your bleeding, including the timing, duration, frequency, and any other symptoms you experience (e.g., pain, fatigue). Note any recent changes in your menstrual cycle or unusual spotting. Be prepared to discuss your medical history, including any medications you’re taking (prescription, over-the-counter, or herbal supplements), past gynecological issues, and any chronic conditions. Be ready to talk about factors such as stress, exercise, and diet, as these can sometimes impact bleeding patterns. Write down any questions or concerns you have about your symptoms, potential diagnoses, or treatments.

during the appointment

Appointment

The healthcare provider will start by reviewing your medical history and discussing your symptoms in detail. An examination may include a pelvic exam, and possibly an abdominal or breast exam, depending on your symptoms. Diagnostic tests might be recommended to determine the cause of the bleeding, such as blood tests for anaemia, hormonal imbalances, or clotting disorders. Additional procedures may include ultrasounds to visualise the uterus and ovaries, Pap smears for cervical abnormalities, an endometrial biopsy to assess the uterine lining, and a hysteroscopy to examine the inside of the uterus with a thin, lighted tube.

post appointment

Post-Appointment

If a diagnosis is made, the provider will explain the condition and discuss treatment options. Common causes of abnormal bleeding include hormonal imbalances, fibroids, polyps, or other conditions affecting the reproductive system. Depending on the diagnosis, treatment may include medication (e.g., hormonal treatments or contraceptive pills), lifestyle changes, or, in some cases, surgical interventions. You may need follow-up appointments to monitor your condition and response to treatment. The provider will inform you about what to expect and when to return.

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What constitutes a heavy menstrual bleed?
If you are bleeding for longer than 7 days, soaking more than one pad or tampon every hour for several hours, needing to double up on pads to deal with your flow, or experiencing large blood clots, you are likely having heavy bleeding (also called menorrhagia).
What are the causes of menorrhagia (heavy bleeding)?
Many conditions and diseases can cause heavy bleeding, so it is best to get examined by a doctor who can give you a proper diagnosis. Things like hormone imbalances, irregular ovulation, bleeding disorders, fibroids, polyps, endometriosis, and cancer all can present with heavy bleeding.
Why is it important to have my heavy periods treated?
Heavy bleeding can be a sign of an underlying serious condition, so it is best to get checked out by a doctor if you notice that you are bleeding more than usual, or if your bleeding is interfering with your ability to go about your normal activities. Extreme loss of blood can also cause anaemia, which can in turn lead to other symptoms.

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