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Abnormal Bleeding Specialist

Capital Women's Care

Obstetrics & Gynecology located in Montgomery, Bethesda, MD

Heavy menstrual bleeding, short menstrual cycles, and bleeding in between your period are indicators of abnormal bleeding and need evaluation. The women’s health experts at Capital Women’s Care including Dr. Deena Kleinerman, Dr. Rachael Cleberg, Dr. Kirsten Beeson, Kimberly Severn, CNM and Morgan Wilkerson, PA-C, in Montgomery County can evaluate your abnormal bleeding and provide answers to your health concerns. To schedule an appointment at the Bethesda, Maryland, office, call today.

Abnormal Bleeding Q & A

What should I know about abnormal bleeding?

In order to determine if your bleeding is abnormal, it’s important to know what’s considered normal. In general, a normal menstrual cycle is 24 to 38 days, with a period that lasts eight days or less. If your bleeding falls out of this general range, you should contact the team at Capital Women’s Care for an evaluation.

More specifically, abnormal bleeding encompasses:


  • Heavy menstrual bleeding
  • Bleeding longer than eight days
  • Bleeding in-between your period
  • A menstrual cycle that’s shorter than 24 days or longer than 38 days
  • Bleeding after menopause


Abnormal bleeding can occur at any time. But you may experience abnormal bleeding during your teen years or during perimenopause, which is the time period in your life when your hormones begin to fluctuate before you reach menopause.


What causes abnormal bleeding?

Abnormal bleeding can develop from a wide range of causes. In addition to perimenopause, you may experience abnormal bleeding due to:


  • Fibroids or polyps
  • Ovarian cysts
  • Polycystic ovarian syndrome
  • Endometriosis
  • Ectopic pregnancy
  • Miscarriage
  • Gynecological cancer
  • Sexually transmitted diseases


Abnormal bleeding may also occur after the placement of an intrauterine device.


How is abnormal bleeding diagnosed?

Your OB/GYN at Capital Women’s Care conducts a comprehensive examination when you come in with concerns about abnormal bleeding. Your exam may include a review of your symptoms and medical history, as well as a physical and pelvic exam. Your specialist may also recommend diagnostic testing, such as sonography, to confirm or rule out a diagnosis.


What are the treatments for abnormal bleeding?

Treatment for your abnormal bleeding depends on the underlying cause. Your specialist at Capital Women’s Care devises a personalized treatment plan to help improve bleeding and any other symptoms you may be experiencing. Your treatment may include hormonal birth control to help lighten your period and improve regularity or an antibiotic to clear up an infection.

For heavy bleeding, the team at Capital Women’s Care may recommend an endometrial ablation, which is a procedure that destroys the innermost layer of your uterine lining. If you have a fibroid, your specialist may remove it to improve your symptoms.

Abnormal bleeding can develop from many causes. To get answers to your gynecological questions, call Capital Women’s Care today.