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1. How is abnormal uterine bleeding (AUB) defined? Is my condition serious enough to be considered?

   AUB, also known as menorrhagia, is defined as a menstrual period in which the heavy flow of blood interferes with your normal activities.

2. I used to have regular periods and they've suddenly disappeared over the past few months. Is this something to be concerned about?

   This condition, called secondary amenorrhea, can be caused by problems that affect estrogen levels, including stress, weight loss, exercise or illness. Also you may experience secondary amenorrhea because of problems affecting the pituitary, thyroid or adrenal gland. This condition can also occur if you've had an ovarian tumor or have had your ovaries surgically removed. You should consult with a health care professional to determine what is causing you to skip periods.

3. Is there a certain age group of women who are more likely to have problems with AUB?

   Yes. If you are between the ages of 40 and 50 and you're premenopausal, you're at a higher risk for this problem. Fifty percent of patients with AUB are older than 45. But if you've just begun to menstruate, you may find similar problems with AUB.

4. Can AUB be a problem for me if I've already gone through menopause?

   If you are post-menopausal and you aren't taking any hormones, any uterine bleeding is considered abnormal and should be evaluated by a health care professional as soon as possible.

5. Aside from excessive or lengthy bleeding, what other problems can be described as AUB?

   Other types of AUB could include:

   • Absence of periods (no bleeding)

   • Bleeding between regular periods

   • Spotting

6. What are my treatment options for AUB?

   Generally, both medications and surgery are options. Typically, less invasive therapies should be considered first. Treatment choices depend on your age, your desire to preserve fertility and the cause of the bleeding (dysfunctional or structural).

7. Is PMS (premenstrual syndrome) a problem I have to learn to live with every month or is there anything I can do to relieve my symptoms?

   PMS is not a disease but a collection of symptoms. Still, there are many things you can try to alleviate your pain, discomfort and emotional distress. They include dietary changes, medication options and exercise. Ask your health care professional for more information.