
Q I'm not on my period, but I'm seeing blood on my underwear. What exactly is abnormal bleeding?
A Abnormal uterine bleeding (AUB) is bleeding from the uterus that occurs independently of your menstrual cycle. It has many possible causes, such as polyps, uterine fibroids, ovulation disorders, and hormonal imbalance, so it is essential to identify the underlying cause.
Detailed Answer
Abnormal Uterine Bleeding refers to vaginal bleeding that occurs outside of a normal menstrual period. Its causes are organized under the PALM-COEIN classification, divided into structural causes (polyps, uterine fibroids, adenomyosis, malignancy) and functional causes (coagulopathy, ovulatory dysfunction, endometrial issues, iatrogenic/medication, and idiopathic). Because the cause varies depending on the bleeding pattern (spotting, brown discharge, bright red blood) and accompanying symptoms, an accurate diagnosis is necessary.
Korean Medicine Clinic Perspective
In Korean medicine, when the flow of the Chong and Ren meridians (chungimmaek), which govern the uterus and reproductive energy, becomes unstable, the blood leaves its proper place and manifests as abnormal bleeding. Rather than simply stopping the surface bleeding, the focus is on correcting the flow of qi and blood in these meridians so that the uterus can regain its own rhythm.
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