ABNORMAL BLEEDING

 Ulas Bozdogan, MD, FACOG

Endometriosis & Fibroids Specialist located in Hackensack, NJ and New York City, NY

Dr. Bozdogan is a recognized leader in advanced robotic surgery. He has carried out more than 3,000 Laparoscopic and robotic surgeries over the course of his career. An avid believer in life long learning, he attends numerous conferences at the national and international level.

REQUEST AN APPOINTMENT

What is abnormal bleeding ?

Abnormal bleeding is any uterine (your womb) bleeding that differs in timing, amount, or duration from that of a normal period. A normal period is typically 3-7 days in length, comes every 24-32 days, and does not result in anemia. The bottom line is that any more bleeding than what the standard “cycle” entails is considered abnormal:

  • Periods that last longer than 7 days.
  • Periods that come more frequently than every 21 days.
  • Bleeding that causes debilitating cramps or pain.
  • Bleeding that is so heavy that hygiene becomes a problem.
  • Bleeding that is so heavy that it results in anemia.

 Abnormal Bleeding Specialist

Dr. Ulas Bozdogan is a specialist in who diagnoses and manages abnormal uterine bleeding, as he is a gynecologist, board-certified by the American Congress of Obstetricians and Gynecologists. This is the highest achievement an OBGYN doctor can attain in the specialty. But Dr. Bozdogan uses the latest state-of-the-art technology and diagnostic—and if necessary, surgical—techniques, which sets him apart from other gynecologists. His vast experience (thousands) in performing hysteroscopy, laparoscopy, and other procedures using minimally invasive robotic procedures increase the safety, decrease the blood loss, and make complications of any diagnostic or therapeutic procedure less, should they be necessary, e.g., removing uterine fibroids; additionally his techniques also significantly decrease recovery time and postoperative pain. In fact, he even teaches procedures to other doctors who want to begin using the robot in their own practices.

What causes abnormal uterine bleeding?

There are many causes, some gynecological, others non-gynecological.

Non-gynecological

  • Blood clotting disorders, from blood-thinners, genetic problems, vitamin deficiencies, or medication side effects.
  • Endocrine (glandular) problems, such as under- or over-active thyroid, diabetes, or a version of diabetes called insulin-resistance (polycystic ovarian syndrome—which is really more endocrine than gynecological in nature).
  • Medication side effects, which can interfere at many points in your menstrual cycle.
  • Malnutrition, “swing” and extreme diets, or starvation.
  • Extreme exercise.
  • Mental problems such as stress or anxiety.
  • Genetic (inherited) problems.

Gynecological

  • Cervicitis, which is not a true uterine bleeding problem, but an inflammation of the cervix that can cause spotting and bleeding, but is otherwise harmless and easily treated.
  • Hormone imbalance in which the menstrual cycle is paused or prolonged in one of its two phases. Such imbalances can play an important role in causing infertility, and Dr. Bozdogan is very experienced in addressing this cause.
  • Adenomyosis, which is a glandular infiltration of the muscular wall of the uterus.
  • Fibroids, which interfere with the muscular contracting of your uterus’ muscular layer, preventing the bleeding from a period to be pinched off.
  • Polyps inside your uterus, which can erode and bleed.
  • Cancer of the inside layer of your uterus, which doesn’t follow the normal cycling pattern.

Does abnormal uterine bleeding mean it’s probably cancer?

No. In fact, the other causes are much more likely. Even in the rare case in which it is cancer, caught early with the diagnostics [BELOW] usually means it is curative. Dr. Bozdogan has much experience in diagnosing early uterine cancer and eradicating it.

Does abnormal uterine bleeding always mean surgery?

Not at all. In fact, the majority of the management for abnormal uterine bleeding is in the beginning, with blood work to rule out clotting disorders, hormone imbalances, and even unusual causes like thyroid disorders or medication side effects. Further management involves assessing your uterus (the source of the bleeding). This is done in three ways:

  1. Ultrasound
  2. Taking a sample of the inside of your uterus, by D&C (scraping tissue for study under a general anesthetic) or an endometrial biopsy (EMB) which is an office procedure that takes a sample, and when combined with ultrasound, can often eliminate the need for a D&C.
  3. Hysteroscopy
  4.  

Each of these offer different capabilities and advantages. Ultrasound is done first, because it can help direct the way tissue sample retrieval or hysteroscopy can be used.

After the cause is determined, treating abnormal bleeding is based on what the diagnostics reveal, and they can range from conservative to aggressive, depending on whether pregnancy is desired,  to what degree pain is involved, or if there are pre-cancerous tissues.

What is hysteroscopy?

Hysteroscopy is a procedure that uses a small lighted scope to look through the mouth of your womb (cervix) to examine internally. As such, there are no incisions. Technically it is a “surgical” procedure, but there is no actual surgery per se, unless Dr. Bozdogan takes advantage of it to remove a polyp or internal fibroid through the hysteroscope tube.

What are the options in treating abnormal uterine bleeding?

Again, this depends on the cause. Dr. Bozdogan can treat hormonal causes using birth control pills, IUD, or time-released hormone shots. Endometrial ablation is the burning or freezing of the lining of your uterus which bleeds and is done via a vaginal approach (no incisions).

Polyps can be easily removed with a hysteroscope, as can fibroids that hang into the uterine canal, and Dr. Bozdogan uses such technology to prevent larger procedures.

When pregnancy is no longer desired, the pain and cramping of heavy bleeding can make hysterectomy (removal of your uterus) a better choice than trial-and-error involving hormones or other more conservative measures. This is also true with adenomyosis, fibroids, and pre-cancerous tissue.

When hysterectomy is chosen, the procedure as done by Dr. Bozdogan using the da Vinci® robot offers the best approach for minimal pain and shortest recovery.

How is a hysterectomy done with the robotic technique?

Using the advantages of the robotic approach minimizes the complications drastically compared to more invasive surgeries other doctors do, such as laparoscope-assisted, open, and vaginal hysterectomy. This is because the robot’s advantages over the others is stereoscopic visibility, 2-hand dexterity that electronically couples with advanced instrumentation for meticulous dissection, and visibility from any angle within your pelvis. The precise technique allows for meticulous handling of tissue, which also means reduced inflammation, decreasing postoperative pain and speeding up recovery tremendously.

Summary

Abnormal uterine bleeding is a far-reaching simplistic label that can represent any one of a vast number of problems. Each woman who suffers abnormal bleeding is unique and Dr. Bozdogan insists on an individualized treatment plan that takes into account her age, fertility and pregnancy plans, quality of life, and personal choices.

Dr. Ulas Bozdogan in Numbers

Dr. Ulas bozdogan's numbers speaks for themselves, with over thousands of successful surgery and happy patients that have given his patients the confidence to live without pain. 

100% 

Surgeries Succeeded

1500+ 

Robotic Surgeries

300+ 

5 Star Reviews

20+ 

Years of Experience

A good word means a lot

Successful stories and Patient testimonials

It’s always the word of mouth that’s the best advice. Here are some of our…

There are no words to describe the care Dr. Boz and his staff have given me. I am 2 days out of surgery (partial hysterectomy) and feel like a new person already. Dr. Boz has called 2 times to check on my recovery, I have never experienced that personal care with any doctor I have had. After 10 years of suffering from pain, multiple trips to the ER with no answers, I found Dr. Boz and was finally diagnosed with stage 4 endometriosis. I had surgery 2 weeks later and I'm finally on the road to recovery! Thank You for giving me my life back!

I’m just so happy that I found Dr. Bozdogan and I can’t thank enough him for helping me. I always have very painful period to the point I pass out from it. Every gynecologist was saying it’s normal but it isn’t. Dr. Bozdogan from my first visit was amazing! He described with smallest details my surgery and what to expect after.He has amazing bedside manner and very professional! I highly recommend Dr Bozdogan if you suffer with endometriosis

From my first consultation, I could not be happier with the service I received from Dr.Boz and his staff.
Dr.Boz listened to me and my issues and asked questions and had honest answers for me. He is both personal and professional and I would highly recommend him to any woman who is having pelvic pain, endometriosis or other gynecological issues.

I’m thankful That my concerns were heard. Dr. Bozdogan is Very professional and easy to talk to regarding my fibroids. I got an appointment quickly, no wait time in the office, friendly staff, ultrasound in office to confirm my fibroids. He scheduled my surgery quickly and it was outpatient do I could recover at home. He answered all my questions and made sure that The fibroids were removed robotic surgery without removing my uterus so I could have more kids if I chose to.

Dr. Boz is a great doctor for endometriosis. He took his time to explain everything to me and show me what he wanted to look at. I just had my surgery with him and I have nothing but appreciation for him with the time he takes with me. I’m also feeling much better then I was feeling before. Thank you Dr. Boz!!!

Dr Boz was amazing with me and I'm so happy I used him for my surgery. I went for several Doctoredbefore deciding he was the one to perform my Myomectomy (fibroid removal surgery). From the initial appointment for diagnosis until the follow up after surgery he was there all away!I was able to text hI'm personally with questions if I needed and he put any anxieties at ease with all the reasons why he will do what he planned for me. He explained my procedure step by step very clearly and had a great bed side matter at the hospital as well. As for as the surgery went he preformed it with ease and with in 8 days I'm doing great and with nearly no scars.

Our Affiliations

ABNORMAL BLEEDING 

 Ulas Bozdogan, MD, FACOG

Endometriosis & Fibroids Specialist located in Hackensack, NJ and New York City, NY

Dr. Bozdogan is a recognized leader in advanced robotic surgery. He has carried out more than 3,000 Laparoscopic and robotic surgeries over the course of his career. An avid believer in life long learning, he attends numerous conferences at the national and international level.

REQUEST AN APPOINTMENT

What is abnormal bleeding ?

Abnormal bleeding is any uterine (your womb) bleeding that differs in timing, amount, or duration from that of a normal period. A normal period is typically 3-7 days in length, comes every 24-32 days, and does not result in anemia. The bottom line is that any more bleeding than what the standard “cycle” entails is considered abnormal:

  • Periods that last longer than 7 days.
  • Periods that come more frequently than every 21 days.
  • Bleeding that causes debilitating cramps or pain.
  • Bleeding that is so heavy that hygiene becomes a problem.
  • Bleeding that is so heavy that it results in anemia.

 Abnormal Bleeding Specialist

Dr. Ulas Bozdogan is a specialist in who diagnoses and manages abnormal uterine bleeding, as he is a gynecologist, board-certified by the American Congress of Obstetricians and Gynecologists. This is the highest achievement an OBGYN doctor can attain in the specialty. But Dr. Bozdogan uses the latest state-of-the-art technology and diagnostic—and if necessary, surgical—techniques, which sets him apart from other gynecologists. His vast experience (thousands) in performing hysteroscopy, laparoscopy, and other procedures using minimally invasive robotic procedures increase the safety, decrease the blood loss, and make complications of any diagnostic or therapeutic procedure less, should they be necessary, e.g., removing uterine fibroids; additionally his techniques also significantly decrease recovery time and postoperative pain. In fact, he even teaches procedures to other doctors who want to begin using the robot in their own practices.

What causes abnormal uterine bleeding?

There are many causes, some gynecological, others non-gynecological.

Non-gynecological

  • Blood clotting disorders, from blood-thinners, genetic problems, vitamin deficiencies, or medication side effects.
  • Endocrine (glandular) problems, such as under- or over-active thyroid, diabetes, or a version of diabetes called insulin-resistance (polycystic ovarian syndrome—which is really more endocrine than gynecological in nature).
  • Medication side effects, which can interfere at many points in your menstrual cycle.
  • Malnutrition, “swing” and extreme diets, or starvation.
  • Extreme exercise.
  • Mental problems such as stress or anxiety.
  • Genetic (inherited) problems.

Gynecological

  • Cervicitis, which is not a true uterine bleeding problem, but an inflammation of the cervix that can cause spotting and bleeding, but is otherwise harmless and easily treated.
  • Hormone imbalance in which the menstrual cycle is paused or prolonged in one of its two phases. Such imbalances can play an important role in causing infertility, and Dr. Bozdogan is very experienced in addressing this cause.
  • Adenomyosis, which is a glandular infiltration of the muscular wall of the uterus.
  • Fibroids, which interfere with the muscular contracting of your uterus’ muscular layer, preventing the bleeding from a period to be pinched off.
  • Polyps inside your uterus, which can erode and bleed.
  • Cancer of the inside layer of your uterus, which doesn’t follow the normal cycling pattern.

Does abnormal uterine bleeding mean it’s probably cancer?

No. In fact, the other causes are much more likely. Even in the rare case in which it is cancer, caught early with the diagnostics [BELOW] usually means it is curative. Dr. Bozdogan has much experience in diagnosing early uterine cancer and eradicating it.

Does abnormal uterine bleeding always mean surgery?

Not at all. In fact, the majority of the management for abnormal uterine bleeding is in the beginning, with blood work to rule out clotting disorders, hormone imbalances, and even unusual causes like thyroid disorders or medication side effects. Further management involves assessing your uterus (the source of the bleeding). This is done in three ways:

  1. Ultrasound
  2. Taking a sample of the inside of your uterus, by D&C (scraping tissue for study under a general anesthetic) or an endometrial biopsy (EMB) which is an office procedure that takes a sample, and when combined with ultrasound, can often eliminate the need for a D&C.
  3. Hysteroscopy
  4.  

Each of these offer different capabilities and advantages. Ultrasound is done first, because it can help direct the way tissue sample retrieval or hysteroscopy can be used.

After the cause is determined, treating abnormal bleeding is based on what the diagnostics reveal, and they can range from conservative to aggressive, depending on whether pregnancy is desired,  to what degree pain is involved, or if there are pre-cancerous tissues.

What is hysteroscopy?

Hysteroscopy is a procedure that uses a small lighted scope to look through the mouth of your womb (cervix) to examine internally. As such, there are no incisions. Technically it is a “surgical” procedure, but there is no actual surgery per se, unless Dr. Bozdogan takes advantage of it to remove a polyp or internal fibroid through the hysteroscope tube.

What are the options in treating abnormal uterine bleeding?

Again, this depends on the cause. Dr. Bozdogan can treat hormonal causes using birth control pills, IUD, or time-released hormone shots. Endometrial ablation is the burning or freezing of the lining of your uterus which bleeds and is done via a vaginal approach (no incisions).

Polyps can be easily removed with a hysteroscope, as can fibroids that hang into the uterine canal, and Dr. Bozdogan uses such technology to prevent larger procedures.

When pregnancy is no longer desired, the pain and cramping of heavy bleeding can make hysterectomy (removal of your uterus) a better choice than trial-and-error involving hormones or other more conservative measures. This is also true with adenomyosis, fibroids, and pre-cancerous tissue.

When hysterectomy is chosen, the procedure as done by Dr. Bozdogan using the da Vinci® robot offers the best approach for minimal pain and shortest recovery.

How is a hysterectomy done with the robotic technique?

Using the advantages of the robotic approach minimizes the complications drastically compared to more invasive surgeries other doctors do, such as laparoscope-assisted, open, and vaginal hysterectomy. This is because the robot’s advantages over the others is stereoscopic visibility, 2-hand dexterity that electronically couples with advanced instrumentation for meticulous dissection, and visibility from any angle within your pelvis. The precise technique allows for meticulous handling of tissue, which also means reduced inflammation, decreasing postoperative pain and speeding up recovery tremendously.

Summary

Abnormal uterine bleeding is a far-reaching simplistic label that can represent any one of a vast number of problems. Each woman who suffers abnormal bleeding is unique and Dr. Bozdogan insists on an individualized treatment plan that takes into account her age, fertility and pregnancy plans, quality of life, and personal choices.

SERVICES

Endometriosis
Specialist

Fibroid
Specialist

Hysterectomy
Specialist

Myomectomy
Specialist

Ovarian Cysts
Specialist

Abnormal
Bleeding

Pelvic Pain
Specialist

Infertility
Specialist

Dr. Ulas Bozdogan in Numbers

Dr. Ulas bozdogan's numbers speaks for themselves, with over thousands of successful surgery and happy patients that have given his patients the confidence to live without pain. 

100% 

Surgeries Succeeded

1500+ 

Robotic Surgeries

300+ 

5 Star Reviews

20+ 

Years of Experience

A good word means a lot

Successful stories and Patient testimonials

It’s always the word of mouth that’s the best advice. Here are some of our…

There are no words to describe the care Dr. Boz and his staff have given me. I am 2 days out of surgery (partial hysterectomy) and feel like a new person already. Dr. Boz has called 2 times to check on my recovery, I have never experienced that personal care with any doctor I have had. After 10 years of suffering from pain, multiple trips to the ER with no answers, I found Dr. Boz and was finally diagnosed with stage 4 endometriosis. I had surgery 2 weeks later and I'm finally on the road to recovery! Thank You for giving me my life back!

I’m just so happy that I found Dr. Bozdogan and I can’t thank enough him for helping me. I always have very painful period to the point I pass out from it. Every gynecologist was saying it’s normal but it isn’t. Dr. Bozdogan from my first visit was amazing! He described with smallest details my surgery and what to expect after.He has amazing bedside manner and very professional! I highly recommend Dr Bozdogan if you suffer with endometriosis

The best at what he does I can’t thank dr Bozdogan enough, I suffered from pelvic pain 15 years no joke , went to many doctors in New York was put on meds even IV antibiotics because no doctor had an answer for my pain. I moved to New Jersey and found Dr Bozdogan he is amazing !!!! From the moment I called the office to set up my appointment I felt I was at the right place , they took me in the same week I called, my surgery was also scheduled promptly and they worked with my schedule. Dr Bozdogan gave me back my life literally , this pain was ruining my life. Please if you are suffering from pelvic pain /endo/fibroids etc go to him it will change your quality of life , the only thing I regret was not finding this gem doctor before.

From my first consultation, I could not be happier with the service I received from Dr.Boz and his staff.
Dr.Boz listened to me and my issues and asked questions and had honest answers for me. He is both personal and professional and I would highly recommend him to any woman who is having pelvic pain, endometriosis or other gynecological issues.

I’m thankful That my concerns were heard. Dr. Bozdogan is Very professional and easy to talk to regarding my fibroids. I got an appointment quickly, no wait time in the office, friendly staff, ultrasound in office to confirm my fibroids. He scheduled my surgery quickly and it was outpatient do I could recover at home. He answered all my questions and made sure that The fibroids were removed robotic surgery without removing my uterus so I could have more kids if I chose to.

Dr. Boz is a great doctor for endometriosis. He took his time to explain everything to me and show me what he wanted to look at. I just had my surgery with him and I have nothing but appreciation for him with the time he takes with me. I’m also feeling much better then I was feeling before. Thank you Dr. Boz!!!

Dr Boz was amazing with me and I'm so happy I used him for my surgery. I went for several Doctoredbefore deciding he was the one to perform my Myomectomy (fibroid removal surgery). From the initial appointment for diagnosis until the follow up after surgery he was there all away!I was able to text hI'm personally with questions if I needed and he put any anxieties at ease with all the reasons why he will do what he planned for me. He explained my procedure step by step very clearly and had a great bed side matter at the hospital as well. As for as the surgery went he preformed it with ease and with in 8 days I'm doing great and with nearly no scars.

Our Affiliations