Abnormal Uterine Bleeding/ Novasure/ Endometrial Ablation

Inga Zilberstein, MD

Obstetrics & Gynecology located in Upper East Side of Manhattan, New York, NY

An irregular period, a long period, and a heavy period are all types of abnormal vaginal bleeding. On the Upper East Side of Manhattan in New York City, Dr. Inga Zilberstein, MD, PLLC, specializes in diagnosing and treating abnormal vaginal bleeding. With a personalized approach to care, Dr. Zilberstein works closely with you to develop the most effective treatment plan to manage your abnormal vaginal bleeding. Call the office or book an appointment online today.

What is abnormal vaginal bleeding?

Abnormal vaginal bleeding affects about 1% of women in the United States and includes any menstrual bleeding that differs from the normal menstrual cycle. Typically, the length of a woman’s menstrual cycle falls between 21 to 38 days, with a period that lasts up to eight days.

Abnormal vaginal bleeding includes:

  • Menstrual cycle shorter than 21 days or longer than 38 days
  • Skipping a monthly period
  • Bleeding in-between a period or after sex
  • Periods that last longer than eight days
  • Heavy menstrual bleeding
  • Bleeding after menopause

Women may experience abnormal vaginal bleeding at any age. However, it’s common for women to have irregular periods when they start menstruating and in the months or years leading up to menopause. 

No matter the age or suspected cause, if you have abnormal vaginal bleeding, schedule a consultation with Dr. Zilberstein.

What causes abnormal vaginal bleeding?

There are many gynecological conditions that cause abnormal vaginal bleeding. Common causes include:

  • Fluctuating levels of estrogen and progesterone (perimenopause)
  • Persistent estrogen stimulation of the endometrium
  • Endometrial polyps
  • Endometriosis
  • Fibroids
  • Pregnancy
  • Skipping ovulation
  • Miscarriage
  • Ectopic pregnancy
  • Uterine or cervical cancer
  • Polycystic ovary syndrome (PCOS) — abnormal glucose metabolism

Certain types of birth control, such as the intrauterine device (IUD), may cause abnormal bleeding, as well as blood thinners. 

What happens during an abnormal vaginal bleeding evaluation?

When you visit Dr. Zilberstein with concerns about abnormal vaginal bleeding, you can expect a patient-centered and comprehensive evaluation. 

Dr. Zilberstein asks detailed questions about your menstrual cycle and your symptoms. She also reviews your medical and gynecological history and the types of medications and supplements you take. 

Dr. Zilberstein performs a physical and pelvic exam and may run diagnostic tests to confirm or rule out a suspected cause of your abnormal vaginal bleeding. Testing may include blood work, urinalysis, ultrasound, or X-rays. She may also test for sexually transmitted diseases (STDs). 

How is abnormal vaginal bleeding treated?

Dr. Zilberstein creates a personalized treatment for abnormal vaginal bleeding based on the underlying cause. Initially, she may recommend medication to regulate your cycle and control your bleeding, such as hormonal birth control, tranexamic acid, or the placement of a hormonal IUD.


When medical interventions fail to improve your abnormal vaginal bleeding, and you have no future plans for pregnancy, Dr. Zilberstein may recommend endometrial ablation. 

Dr. Zilberstein uses the FDA-approved NovaSure® device to perform endometrial ablations. This device uses radiofrequency energy to destroy your endometrial lining. The procedure takes about 90 seconds and is safe and effective.

For compassionate women’s health care from an experienced OB/GYN, call the office of Dr. Inga Zilberstein, MD, PLLC, or schedule an appointment online today.