Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
History of problems with clotting or bleeding disorders
History of recent surgeries or gynecological procedures
The doctor will also perform a complete physical examination, including a thorough pelvic exam.
The exam includes careful inspection of the
external genitalia, urethra, and anal area.
The vaginal walls and cervix or birth canal are inspected for the presence of any abnormalities or retained foreign objects. Sometimes a tampon or other object is left in the vagina that can cause bleeding.
The doctor may also take cells from the cervix that will be examined for cancer. This is a Pap smear.
It is also important for the doctor to place his or
her hand into the vagina and sometimes the rectum to detect the shape of the uterus and ovaries as well as to feel for any masses that may be present.
Diagnostic tests that may be performed to help ascertain the cause of abnormal uterine bleeding include the following:
A pregnancy test needs to be done to make sure that pregnancy or a related complication is not the cause of
the woman's bleeding.
Blood will be taken to check for
low red blood cell counts) or low platelet count.
A clotting series that includes a prothrombin time (PT) and an activated partial thromboplastin time (PTT) gives information about
the ability to form clots in the body to stop bleeding. Abnormal vaginal bleeding may be the first sign that
a woman may have of a bleeding disorder.
Your doctor may also order thyroid tests, which are
blood tests that examine the thyroid gland (a gland in the neck
responsible for many complex functions of the body).
An ultrasound of the abdomen and pelvis may be performed. This is an imaging test, much like an
An endometrial biopsy may be performed to take a sample of tissue from the lining of the uterus.