Abnormal menstrual bleeding — which specialty
Cycles that have changed, unusually heavy or prolonged bleeding, or bleeding between periods.
Usually seen by
Obstetrics and gynaecology
Other directions, depending on what comes with it:
- Endocrinology — with excess hair growth, acne or rapid weight gain
- Haematology — with easy bruising or bleeding gums
Not sure you have picked the right one? Start with general internal medicine — routing you to the right place is their job, not yours.
Go now, without waiting for an appointment, if any of these apply
- Bleeding heavy enough to cause dizziness or exhaustion
- Bleeding during pregnancy
- Any bleeding after the menopause
- Bleeding with fever and severe abdominal pain
This list is not exhaustive and does not replace judgement on the spot. If something is clearly wrong and you are unsure, call your local emergency number or go to the nearest facility — waiting in order to be certain is the most dangerous way to spend the time.
What you will be asked — have the answers ready
- How many days the cycle runs and whether it is regular
- How many days of bleeding, and how many changes of protection a day
- Whether there is bleeding between periods or after sex
- Which contraception you use
- When you last had a gynaecological review
A first appointment is short. Having these answers ready is the cheapest way to avoid a second visit that exists only to supply information.
Bring with you
- Three to six months of cycle records — a period-tracking app is fine
- Previous pelvic scans
- Your most recent cervical screening result
What a first visit usually involves
- History and pelvic examination
- Ultrasound
- Blood tests and a pregnancy test where relevant