To diagnose your abnormal uterine bleeding (AUB) condition, your health care professional first will assess whether its primary cause is anatomic (there is something structurally wrong that a health care professional can see with the help of a hysteroscope or a transvaginal ultrasound) or hormonal (usually a problem with ovulation).
Think about any major physical changes you've experienced recently, such as a change in your weight, eating habits or exercise regimen, and whether you've been undergoing more stress than usual. Make sure you share these details with your health care professional, as they could provide clues behind what's causing your AUB. There are many potential causes for this disorder (both anatomic and structural) so you and your health care professional may have to spend some time narrowing the field of potential causes through the uses of lab tests, personal and family health histories and physical examinations.
Your health care professional will no doubt ask about the regularity of your menstrual cycle, so it's a good idea to take notes on the dates and length of your periods. You can do this by marking your calendar or appointment book. You might also be asked to keep a daily track record of your temperature to determine when you are ovulating. Ovulation kits are available without a prescription and are easy to use.
During your initial evaluation with your health care professional, you should also discuss the following information:
- current medications
- details about menstrual flow and cycle length
- any gynecologic surgery or gynecologic disorders
- sexual activity and history of sexually transmitted diseases
- contraceptive use and history
- family history of fibroids or other conditions associated with AUB
- a history of a breast discharge