Can Telemedicine Treat Abnormal Uterine Bleeding (AUB)? - Triage Guidance

Audience: adult

Abnormal uterine bleeding (AUB) means bleeding from the uterus that is irregular in amount, timing, or duration. It can affect adult people of reproductive age and sometimes beyond. Telemedicine can help you understand your symptoms, provide education, and guide you on whether you need urgent in-person care. During a telemedicine visit, a healthcare provider can ask about your bleeding pattern, other symptoms, and medical history to help assess your situation. However, some cases of AUB require physical exams, lab tests, or imaging that cannot be done remotely. If you experience severe bleeding, signs of anemia, or other concerning symptoms, you should seek emergency care promptly. Telemedicine is a useful first step for many people with AUB but is not a substitute for all in-person evaluations. This guide explains what telemedicine can and cannot do for AUB, how to prepare for a visit, and what to expect afterward.

Red flags — go in person / ER

• Bleeding so heavy that you soak through one or more pads or tampons every hour for two or more hours.
• Feeling faint, dizzy, or weak during bleeding episodes.
• Severe pelvic or abdominal pain accompanied by fever or chills.

What telemedicine can do

• Initial symptom assessment and history taking.
• Providing education about AUB and possible causes.
• Guidance on symptom management and when to seek in-person care.
• Referrals for laboratory tests or imaging when needed.

What telemedicine cannot do

• Physical pelvic examinations.
• Performing laboratory or imaging tests.
• Procedures such as biopsies or surgical interventions.
• Emergency treatment for heavy bleeding or severe symptoms.

What is Abnormal Uterine Bleeding (AUB)?

AUB refers to any bleeding from the uterus that differs from your normal menstrual cycle. This can include very heavy bleeding, bleeding between periods, bleeding after sex, or bleeding after menopause. Causes vary widely and can include hormonal changes, infections, fibroids, polyps, or other health conditions. Understanding your bleeding pattern is important for proper care.

How Telemedicine Can Help with AUB

Telemedicine allows you to talk with a healthcare provider using video, phone, or messaging. For AUB, providers can:

This can save time and help you get the right care quickly.

Limitations of Telemedicine for AUB

Some important parts of AUB evaluation require in-person visits, such as:

If your provider suspects serious causes, they will recommend you see a healthcare facility.

When to Seek Immediate In-Person Care

Certain symptoms with AUB need urgent evaluation. Contact emergency services or go to a healthcare facility if you experience:

Do not delay care if you have these symptoms.

Preparing for Your Telemedicine Visit

To make the most of your telemedicine visit:

After Your Telemedicine Visit

After your visit, follow your provider's instructions carefully. This may include:

Keep track of any new or severe symptoms and seek care promptly if they occur.

How to prepare for your tele-visit

• Record details about your bleeding pattern: start date, frequency, duration, and amount.
• Note any additional symptoms like pain, fever, or fatigue.
• List your current medications and any known medical conditions.
• Ensure a private and quiet environment for your telemedicine visit.
• Test your internet connection or phone signal beforehand.
• Prepare questions or concerns to discuss with your provider.

After your tele-visit

• Follow any instructions given by your healthcare provider.
• Schedule recommended in-person tests or follow-up visits.
• Take prescribed medications as directed.
• Monitor your symptoms closely and note any changes.
• Seek immediate care if red-flag symptoms develop.
• Keep a record of your bleeding and symptoms for future reference.

FAQs

Can telemedicine diagnose the cause of my abnormal uterine bleeding?

Telemedicine providers can assess your symptoms and medical history to suggest possible causes, but they cannot perform physical exams or tests needed for a definitive diagnosis. You may need in-person evaluation for accurate diagnosis.

What should I do if my bleeding suddenly becomes very heavy?

If you experience heavy bleeding that soaks through pads or clothes quickly, or if you feel faint or weak, seek emergency medical care immediately. Do not wait for a telemedicine appointment.

Can I get prescriptions for AUB treatment through telemedicine?

In some cases, providers may prescribe medications after a telemedicine visit based on your symptoms and history. However, prescriptions depend on local regulations and your specific situation.

Is it safe to manage AUB symptoms at home?

Mild symptoms can often be managed at home with guidance from your provider. However, you should contact healthcare services if symptoms worsen or if you experience any red-flag signs.

How often should I have follow-up visits for AUB?

Follow-up frequency depends on your symptoms and treatment plan. Your provider will advise you on when to have in-person or telemedicine follow-ups based on your condition.

Sources

1. Abnormal Uterine Bleeding — MedlinePlus, U.S. National Library of Medicine.
2. Abnormal Uterine Bleeding: Evaluation and Management — National Library of Medicine.
3. Heavy Menstrual Bleeding — Centers for Disease Control and Prevention (CDC).
4. Abnormal Uterine Bleeding — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. Always seek immediate medical attention if you experience severe symptoms or emergencies.