To help your doctor in properly diagnosing the cause of your abnormal uterine bleeding, it is a good idea to keep track of your menstrual cycle—the dates, length and types of bleeding (i.e., heavy or light). Your physician will likely perform a full physical exam, including blood tests (for complete blood count and blood clotting), hormone tests (tests for levels of FSH, LH, androgen, prolactin and progesterone), a pelvic exam and a Pap smear, as well as tests of your thyroid function and to rule out pregnancy.
In addition, your health care provider may recommend:
- An endometrial biopsy to make sure that cells are not cancerous or precancerous
- A dilation and cutterage (D&C), which widens the cervical canal and scrapes or suctions tissue from the uterine cavity that is then examined under a microscope
- A hysterectomy to look into the uterus through the vagina
- A transvaginal ultrasound, which allows doctors to locate problems in the uterus or vagina