Women should not always associate abnormal uterine bleeding solely with reproductive issues: Expert

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By: Express News ServiceChandigarh | September 28, 2025 05:21 AM IST 3 min readPGI organised a talk by Prof Pooja Sikka, Department of Gynaecology and Obstetrics, for greater attention to the topic under the national campaign, Swasth Nari, Sashakt Parivar Abhiyaan (Fiile Photo)Abnormal uterine bleeding (AUB) affects almost 70 out of 100 women who come to the Gynaecology OPD of PGI, but remains one of the most overlooked health concerns in women’s reproductive care. Despite this number, many women suffer in silence due to lack of awareness. PGI organised a talk by Prof Pooja Sikka, Department of Gynaecology and Obstetrics, for greater attention to the topic under the national campaign, Swasth Nari, Sashakt Parivar Abhiyaan.AUB refers to any bleeding from the uterus that deviates from a woman’s normal menstrual cycle — this could mean bleeding that is heavier, longer, i.e., more than eight days or occurs irregularly. Prof Sikka highlighted the importance of recognising the symptoms and seeking timely care. Symptoms of abnormal uterine bleeding (AUB) can manifest as anaemia, disruption of daily life, and decreased blood pressure. It is often observed that many women first present with anaemia during antenatal visits, leading to the assumption that pregnancy is the cause. However, it is important to recognise, said the doctor that the underlying cause may actually be abnormal bleeding occurring prior to pregnancy.Prof Sikka emphasised that women should not always associate abnormal uterine bleeding (AUB) solely with reproductive issues. It is important to understand that underlying health problems can also contribute to AUB. For example, liver dysfunction can affect platelet production or function, leading to bleeding disorders. This can result in heavy menstrual bleeding because the normal clotting process is impaired, preventing the shedding from stopping as it should.On AUB management, Prof Sikka said, “Whenever a woman experiences abnormal uterine bleeding, it is essential to seek medical consultation to accurately diagnose the underlying cause and receive appropriate treatment.” Treatment for abnormal uterine bleeding is often straightforward. In about 90% of cases, AUB can be effectively managed with medication, while surgical intervention is required in only around 10% of cases.On the topic of cervical cancer, Prof Sikka said that persistent infection with high-risk HPV types can cause precancerous lesions that may develop into cancer. HPV vaccines are most effective for prevention of cervical cancer. The vaccines should be given before the onset of sexual activity, ideally around the age of 15. An estimated vaccine effectiveness of 99% is observed when administered early. The primary goal of HPV vaccination programmes should be to ensure widespread protection among girls by providing multiple opportunities for them to complete the vaccine doses.Through initiatives like this, PGI, she said, strengthens its dedication to improving maternal and child health by promoting awareness, passing the message to speak openly about their symptoms and not dismiss abnormal bleeding as “just part of life”.Stay updated with the latest - Click here to follow us on Instagram© The Indian Express Pvt LtdTags:PGIMER Chandigarhwomen health