For many women, the menstrual cycle is a familiar rhythm, a monthly reminder of reproductive health. But when bleeding occurs outside the expected timeframe, known as abnormal uterine bleeding (AUB), it can be both alarming and confusing. Beyond the immediate discomfort and uncertainty, AUB may carry implications for fertility, raising questions about the journey to conception.
Abnormal uterine bleeding refers to any deviation from a regular menstrual cycle, including heavier or lighter bleeding, prolonged periods, or spotting between cycles. Mid-cycle spotting, in particular, often prompts concern, as it can signal hormonal fluctuations, underlying reproductive conditions, or even early pregnancy through implantation bleeding.
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Dr Taiwo Orebamjo, a Consultant Obstetrician and Gynaecologist, explains that irregular bleeding may disrupt ovulation, the process essential for conception.
“AUB can complicate the journey to parenthood by disrupting the regular menstrual cycle, which is vital for ovulation and conception,” he said in an Independent report. “Women with irregular or absent periods may struggle to predict their fertile windows, making conception more challenging.”
Several factors can cause AUB, including hormonal imbalances, endometriosis, ovarian cysts, and cervical abnormalities. While some instances resolve naturally as hormone levels stabilise, persistent or heavy bleeding warrants medical evaluation.
Treatment options range from hormonal therapy, such as oral contraceptives or progestins, to more targeted interventions depending on the underlying cause. For women trying to conceive, understanding the root of abnormal bleeding is crucial.
In some cases, addressing the underlying condition can restore regular ovulation and improve fertility outcomes. Experts also advise seeking immediate care if bleeding is accompanied by severe pain, nausea, or other concerning symptoms.
Ultimately, while AUB does not always prevent pregnancy, it can complicate the path to conception. Awareness, timely diagnosis, and appropriate treatment remain key to managing reproductive health and maximising the chances of a successful pregnancy. Women showing symptoms are advised to visit the hospital for adequate medical examination.
