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Gynaecology & Women's Health

Abnormal Uterine Bleeding (AUB)

Accurate diagnosis and personalized medical and minimally invasive care for heavy, prolonged, or unpredictable uterine bleeding.

Dr. Vishakha Ahuja Dang
Dr. Vishakha Ahuja Dang • Obstetrician & Gynaecologist
Abnormal Uterine Bleeding (AUB) at Dr Dang's Clinic Dehradun

About the Service

Abnormal Uterine Bleeding (AUB) is any bleeding from the uterus that differs in frequency, regularity, duration, or volume from a normal menstrual cycle. Causes range from structural issues like polyps, adenomyosis, and fibroids (the PALM criteria) to non-structural factors like hormonal imbalance, ovulatory dysfunction, and medication effects (the COEIN criteria). Dr. Vishakha Ahuja Dang conducts systematic evaluations to identify the exact cause and resolve symptoms.

When to Seek Medical Advice

If you or a family member notice any of the following common signs or symptoms, scheduling a timely clinical consultation can ensure early diagnosis and peace of mind:

Heavy Menstrual Flow (Menorrhagia)

Soaking through pads or tampons every hour for several consecutive hours.

Bleeding Longer Than 7 Days

Prolonged periods that extend well beyond the normal weekly timeline.

Passing Large Blood Clots

Frequent passage of quarter-sized or larger clots during menstrual flow.

Bleeding After Menopause

Any vaginal spotting or bleeding occurring after one full year of menopause.

Our Clinical Approach

At Dr. Dang's Clinic, every patient receives compassionate, evidence-based care in a private and welcoming environment.

PALM-COEIN Classification

Standardized clinical framework to pinpoint structural vs non-structural etiologies.

Anemia Evaluation & Treatment

Checking complete blood counts and ferritin levels to prevent fatigue and weakness.

High-Resolution Pelvic Ultrasound

Assessing endometrial thickness and ruling out polyps or intracavitary lesions.

Stepped Care Philosophy

Prioritizing conservative medical therapies before considering procedural options.

Treatment & Care Options

Following a comprehensive diagnostic evaluation, Dr. Vishakha Ahuja Dang crafts an individualized management plan based on your health profile and goals:

Medical Hormone Stabilization

Targeted progestins, combined oral therapies, or tranexamic acid to control bleeding.

Intrauterine System (Mirena) Placement

Hormone-releasing IUS providing continuous local endometrial thinning and bleeding control.

Hysteroscopic Polypectomy

Minimally invasive removal of benign endometrial polyps causing focal spotting.

Iron Therapy & Anemia Recovery

Oral or intravenous iron supplementation to quickly restore hemoglobin and energy levels.

Frequently Asked Questions

If you are soaking two or more pads per hour for two hours in a row, feel dizzy, faint, or short of breath, seek immediate medical attention.

Yes. In the majority of cases, medication or hormonal devices like Mirena successfully manage and resolve abnormal bleeding without surgery.

Postmenopausal bleeding must always be evaluated promptly to rule out endometrial hyperplasia or other serious uterine conditions.

Service Overview

Related Healthcare Services

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Schedule Your Consultation with Dr. Vishakha Dang

Take the first step toward personalized, compassionate healthcare in Dehradun. Reach out today to schedule your private appointment.