We do not recommend speculum or pelvic exams or procedures in people younger than 20 years because abnormal uterine bleeding is so common and usually spontaneously resolves as the communication between the brain, i.e., hypothalamus and pituitary and the ovaries improves.
In contrast, at the end of the reproductive life, people undergoing menopause may have abnormal uterine bleeding as the communication between the brain and the ovaries fades. This is a normal process of aging. However, older people are at higher risk of fibroids, adenomyosis and endometrial and cervical cancer and usually need an imaging study and possibly, a procedure.
You might need more tests if you:
- Are older than 35 years
- Are overweight or obese
- Have more than 35 days between your periods
- Have diabetes or high blood pressure
- Take medicines such as tamoxifen (brand name: Nolvadex)
Your Alpha provider will partner with you to develop an individualized treatment plan based on clinical guidelines and your desires.