How to prepare for a video visit about Abnormal Uterine Bleeding (AUB) - Triage

Audience: adult

Abnormal Uterine Bleeding (AUB) refers to any unusual bleeding from the uterus that differs from your normal menstrual cycle. It can include heavy bleeding, bleeding between periods, or bleeding after menopause. Preparing for a video visit about AUB helps you get the most from your telehealth appointment. During the visit, a healthcare provider will ask about your symptoms, medical history, and may guide you on next steps. Telemedicine can help with initial evaluation and advice but may not replace in-person exams or tests. Knowing what to expect and sharing clear information will help your provider understand your condition better and decide if further care is needed. This guide offers practical steps to prepare, what telemedicine can and cannot do, red flags to watch for, and answers to common questions about AUB.

Red flags — go in person / ER

• Bleeding so heavy you soak through one or more pads or tampons every hour for several hours — seek emergency care immediately.
• Severe pelvic or abdominal pain that does not improve — contact your healthcare provider promptly.
• Feeling faint, dizzy, or weak along with bleeding — get urgent medical attention.

What telemedicine can do

• Initial symptom assessment and medical history gathering.
• Providing education about abnormal uterine bleeding.
• Guidance on when to seek in-person or emergency care.
• Follow-up discussions about test results or treatment plans.

What telemedicine cannot do

• Physical pelvic examinations.
• Ultrasound or imaging studies.
• Blood tests or laboratory evaluations.
• Emergency treatment for heavy bleeding or severe symptoms.

What is Abnormal Uterine Bleeding (AUB)?

AUB means bleeding from the uterus that is different from your usual menstrual pattern. This can include bleeding that is heavier or lighter than normal, lasts longer, happens between periods, or occurs after menopause. AUB can have many causes, such as hormonal changes, infections, growths like fibroids, or other health conditions. Understanding your bleeding pattern helps your healthcare provider assess your situation.

How to Prepare for Your Video Visit

Before your telemedicine appointment, gather information about your bleeding: when it started, how often it happens, how heavy it is, and any other symptoms like pain or dizziness. Write down any medicines or supplements you take and your medical history. Find a quiet, private place with a good internet connection for the visit. Have a way to take notes or record important advice from your provider.

What to Expect During the Video Visit

Your healthcare provider will ask detailed questions about your bleeding and overall health. They may review your medical history and any previous tests. While they cannot perform a physical exam over video, they can help decide if you need in-person care, tests, or treatments. They will discuss possible causes and next steps to manage your symptoms safely.

When to Seek Immediate Care (Red Flags)

Seek urgent medical help if you experience:

These signs may indicate a serious problem requiring prompt evaluation.

What Telemedicine Can and Cannot Do for AUB

Telemedicine CAN:

Telemedicine CANNOT:

How to prepare for your tele-visit

• Note the start date and details of your abnormal bleeding.
• Track how often and how heavy your bleeding is.
• List any other symptoms like pain, dizziness, or fatigue.
• Prepare a list of medications, supplements, and medical history.
• Choose a quiet, private place with good internet for your video visit.
• Have a notepad or device ready to record important information.

After your tele-visit

• Follow any instructions given by your healthcare provider.
• Schedule any recommended in-person exams or tests.
• Monitor your symptoms and note any changes.
• Seek immediate care if red flag symptoms appear.
• Keep a record of your bleeding patterns for future visits.

FAQs

What causes abnormal uterine bleeding?

AUB can be caused by hormonal imbalances, uterine fibroids, polyps, infections, bleeding disorders, or other health conditions. Sometimes the exact cause is not clear without further tests.

Can a video visit diagnose my abnormal uterine bleeding?

Telemedicine can help assess your symptoms and decide if you need further tests or in-person care, but it cannot provide a definitive diagnosis without physical exams or tests.

When should I go to the emergency room for AUB?

Go to the emergency room if you have very heavy bleeding soaking through pads or tampons every hour, severe pain, dizziness, fainting, or weakness.

Will I need tests during or after the video visit?

Your provider may recommend blood tests, ultrasound, or other exams to understand the cause of your bleeding. These usually require an in-person visit.

Can AUB be treated with medication?

Some causes of AUB can be managed with medications, but treatment depends on the underlying cause and your health status. Your provider will guide you on options.

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 - Symptoms and Causes — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you experience severe symptoms or have concerns about your health, seek immediate medical attention.