Abnormal Bleeding Specialist

Capital Women's Care

OBGYNs located in Rockville, MD

Abnormal bleeding means exactly that — any bleeding that’s out of the ordinary. If you’re experiencing abnormal bleeding, it can be a sign of something larger at play, so making a trip to Capital Women’s Care is a good idea. Judith Gurdian, MD, Michelle Spector, MD, Tanya Ghatan, MD, and the rest of the team help women in Rockville, Maryland, get to the bottom of their abnormal bleeding using their extensive training combined with the latest diagnostic tools. To learn more, call the office or use the online scheduling to request an appointment.

Abnormal Bleeding Q&A

Capital Women's Care

What constitutes abnormal bleeding?

Abnormal bleeding is tough to define since menstrual cycles vary among women. To give you an idea of what typically is referred to as abnormal bleeding, here are some guidelines:

  • Spotting or bleeding between menstrual cycles
  • Abnormally heavy or light flow during periods
  • Periods that last longer than a week
  • Menstrual cycles that are less than 24 days or more than 38
  • Bleeding or spotting after menopause


Only you can know for sure what constitutes abnormal bleeding based on your typical menstrual cycles.

What are the most common causes of abnormal bleeding?

The most common causes of abnormal bleeding include:

  • Fibroids
  • Endometriosis
  • Pregnancy issues, such as an ectopic pregnancy
  • Sexually transmitted diseases
  • Polycystic ovary syndrome (PCOS)
  • Birth control
  • Pelvic inflammatory disease
  • Certain cancers
  • IUDs


This list is by no means comprehensive, and a proper evaluation by your provider at Capital Women’s Care is the best way to uncover the problem.

How is abnormal bleeding evaluated?

After a thorough review of your symptoms and your medical history, your doctor at Capital Women’s Care performs a physical exam. Based on your symptoms and what she finds during your physical exam, she may investigate further with:

  • Ultrasound
  • MRI
  • Endometrial biopsy
  • Pap test
  • Colposcopy
  • Hysteroscopy
  • Laparoscopic techniques


Your doctor performs most of this testing in the office, and it usually takes only minutes. In the case of a biopsy, such as an endometrial biopsy, the goal is to detect any precancerous cells in your reproductive system.

If you consider that abnormal bleeding is a sign that something is wrong, you can view it as fair warning to get checked out. Thanks to the advanced diagnostic tools at Capital Women’s Care, your doctor is often able to intervene where necessary, avoiding a much larger problem down the road. At the very least, she’s also able to rule out potential problems, giving you peace of mind.

How is abnormal bleeding treated?

After an exhaustive evaluation, your doctor is better able to come up with an appropriate treatment plan that not only addresses your abnormal bleeding, but the underlying condition, as well.  Don’t let your abnormal bleeding continue unchecked. Call Capital Women’s Care for an appointment, or use the online scheduling tool.