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Abnormal bleeding, also called dysfunctional uterine bleeding or DUB, typically occurs because of unusual changes in a woman’s hormone levels. The bleeding takes place in the uterus and may cause irregular periods, bleeding or spotting between periods or a heavier flow than normal. Our primary care physicians will do a pelvic examination and Pap smear to determine the cause of your abnormal bleeding.


To confirm a diagnosis, we may recommend blood, hormone, pregnancy and thyroid tests, take a tissue sample to look for signs of cancer, or perform other tests to determine the potential causes of uterine or pelvic issues. Depending on the results, we may recommend treatments to control the menstrual cycle, such as progestin or birth control pills. Severe cases may require high-dose estrogen therapy or surgery.