How is abnormal uterine bleeding diagnosed?

Your healthcare provider will ask you several questions when working to diagnose abnormal uterine bleeding. These questions may include:

  • What brings on the bleeding?
  • What other symptoms are you experiencing?
  • Are you pregnant?

Your healthcare provider will then do a physical exam, including:

  • A pelvic exam
  • An exam of the cervix
  • A Pap smear

What tests will my healthcare provider order?

Your healthcare provider will order several tests when diagnosing abnormal uterine bleeding. These tests may include:

  • A pregnancy test if you are not in menopause.
  • Blood tests to check how your blood clots and do a complete blood count.
  • A thyroid test. (Problems with thyroid function may be a sign that there is also a problem with ovary function.)
  • Hormone levels.
  • A hysteroscopic exam of the lining of your uterus (endometrium). This test is used to look for fibroids, polyps or signs of cancer.
  • A pelvic ultrasound.
  • A biopsy of the endometrium. This test is recommended if you:
    • Are more than 35 years of age
    • Have a family history
    • Have risk factors for cancer

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