Dysfunctional Uterine Bleeding
Dysfunctional Uterine Bleeding is abnormal bleeding from the uterus, usually associated with ovulation failure, in the absence of other detectable organic lesions. This is usually seen in women between the age of twelve and forty-five. It is important to note that this diagnosis should be made, and treatment attempted for this condition, only after all other causes have been ruled out.
These are taken during menstruation only. They work via reducing the fibrinolytic activity and have been shown to reduce blood loss by about 50 percent. These are good first line treatment as they are taken only during the symptomic period and have few side effects. A commonly used drug is tranexemic acid.
This abnormal blood flow occurs when the complex hormonal process of your menstrual period loses balance between the hormones, estrogen and progesterone. This causes excessive vaginal bleeding. And such a condition is diagnosed as irregular menstrual cycle instead of any disease.
The main symptom to look for is abnormal vaginal bleeding, especially after menopause as it is the most common symptom of uterine cancer. Bleeding may start as a watery, blood-streaked flow that gradually contains more blood. About 20 out of 100 women who have abnormal bleeding after menopause have uterine cancer. This means that 80 out of 100 do not get uterine cancer. The most accurate way to diagnose whether or not you have uterine cancer is through a biopsy.
In fact, more than half of perimenopausal women complain about their offbeat menses – which can include skipped periods, periods that happen more than once throughout a month, or drastically lengthy periods. They can even include menses with thick blood clots and a very heavy flow. The menstrual cycle is usually the first indication that you might be approaching your menopausal years.”
Among the secondary causes of dysmenorrhea is endometriosis, a condition in which implants of ectopic endometrial tissue respond cyclically to estrogen and progesterone. This really is a common disorder affecting 10-25% of women of reproductive age. The presenting signs and symptoms of patients with endometriosis can range from discomfort and cramping throughout menstruation to adhesions with frank bowel obstruction in severe cases.
30-70% of women are diagnosed with at least one uterine fibroid throughout life. These costly fibroids results in approximately 300,000 hysterectomies every year. Uterine fibroids are more common in blacks, obese, peri-menopausal women and drinking alcohol increases risk. Uterine fibroids can be dependent on the hormone estrogen and estrogen dominance is becoming more and more common in our society.
Uterine disorders-Scarring and damage towards the underlying stem cells from which the endometrium proliferates will guide to amenorrhea. In most instances, this occurs within the setting of endometritis right after curettage (scraping with the endometrium) possibly for postpartum bleeding or dysfunctional uterine bleeding.
Ripe mango normalizes vata and pitta. It helps to relieve constipation and normalize digestion. Consumption of ripe mango increases hemoglobin in blood and is very useful in treating anaemia. Ayurvedic texts eulogize the uses of ripe mango as an aphrodisiac. It is known to rejuvenate male reproductive system and increase quality and quantity of semen. It also increases sexual energy (as it nourishes rakta dhatu) and stamina.
Frequently Asked Questions
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QUESTION:
Can I still have sex if I have Dysfunctional Uterine Bleeding?
I have been recently diagnosed with Dysfunctional Uterine Bleeding (DUB), and I’m marriend. Of course, me and my husband want to have sex, but we’re not sure if it’s safe to have sex! Will it cause more bleeding?! Will it make the condition worsen?!-
ANSWER:
I am really not sure.. I am not surprised that you doctor didn’t say anything to you whether or not you could. I looked on webmd. It didn’t say you couldn’t or couldn’t.Dysfunctional Uterine Bleeding – Topic Overview
Is this topic for you?
Irregular vaginal bleeding is usually related to changing hormone levels. This can affect your menstrual cycle. However, vaginal bleeding can be caused by disease, infection, or pregnancy complications. For more information on these possible causes of this condition, see the topic Abnormal Vaginal Bleeding.What is dysfunctional uterine bleeding?
Dysfunctional uterine bleeding is irregular vaginal bleeding. For example, your monthly menstrual period may happen more often than every 21 days or farther apart than 35 days. Your period may last longer than 7 days. In most cases, dysfunctional uterine bleeding is related to changes in hormone levels.Dysfunctional uterine bleeding is not bleeding caused by medical conditions such as miscarriage, uterine growths such as fibroids, cancer of the cervix or uterus, or blood diseases. If you are having vaginal bleeding, your health professional must rule out these other conditions before diagnosing you with dysfunctional uterine bleeding.
What causes dysfunctional uterine bleeding?
Irregular vaginal bleeding is usually caused by changes in hormone levels. In some cases the cause of the bleeding isn’t known.
Normally one of your ovaries releases an egg during your menstrual cycle. This is called ovulation. Most women who have dysfunctional uterine bleeding get it when their ovaries don’t release an egg. This causes changes in hormone levels and in some cases can lead to unexpected vaginal bleeding.
Less often, some women have dysfunctional uterine bleeding even though they ovulate. Experts don’t fully understand this type of vaginal bleeding. It may be caused by changes in certain body chemicals.1
What are the symptoms?
You may have dysfunctional uterine bleeding if you have one or more of the following symptoms:Menstrual bleeding that occurs more often than every 21 days or farther apart than 35 days (a normal menstrual cycle is 21 to 35 days long).
Menstrual bleeding that lasts longer than 7 days (normally 4 to 6 days).
Blood loss of more than 80 mL each menstrual cycle (normally about 30 mL). If you are passing large clots or soaking a large pad per hour for 8 hours, your bleeding is considered heavy.
How is dysfunctional uterine bleeding diagnosed?
Your health professional must first rule out all other medical causes of vaginal bleeding before diagnosing dysfunctional uterine bleeding. These causes may include miscarriage, pregnancy complications, and common and less serious causes such as adenomyosis and uterine fibroids.If you have had frequent vaginal bleeding for three or more menstrual cycles, or your symptoms are affecting your daily functioning, see your health professional. By reviewing the frequency, duration, and amount of bleeding you have been having, combined with a pelvic examination, urine test, blood tests, and possibly an ultrasound, your health professional will be able to check for a number of causes of your symptoms. A biopsy of endometrial tissue may also be helpful.
Your health professional may diagnose dysfunctional uterine bleeding, if after testing no other diseases or conditions are causing your symptoms.
How is it treated?
A number of treatment options are available for dysfunctional uterine bleeding. Some are meant to return the menstrual cycle to normal; others are used to reduce bleeding or to eliminate menstruation. Each of these options works effectively for some women but not others. Treatments include:Watchful waiting, which is a wait-and-see approach. Watchful waiting may be appropriate for a teen or a woman approaching menopause. Some teens have times of irregular vaginal bleeding. But hormone levels usually even out as a teen matures and the menstrual cycle becomes more regular. Women nearing the age of menopause can expect menstrual cycles to stop.
Hormones, such as a progestin pill or daily birth control pill (progestin and estrogen). These hormones help regulate the menstrual cycle and reduce bleeding and cramping.
A short course of high-dose estrogen. Estrogen is a hormone that is often used to stop dangerously heavy bleeding.
Use of the levonorgestrel IUD, which releases a progesterone-like hormone into the uterus. This reduces bleeding while preventing pregnancy.
Rarely used medications that stop estrogen production and menstruation, such as gonadotropin-releasing hormones. These medications can cause severe side effects but are used in special cases.
Surgery, such as endometrial ablation.
In cases of severe uterine bleeding, blood transfusion may be used to quickly restore needed blood volume before a longer-term treatment is used.You may have your uterus removed (hysterectomy) if you have uncontrollable uterine bleeding or can’t take medicine to control it.
Frequently Asked Questions
Learning about dysfunctional uterine bleeding:
What is dysfunctional uterine bleeding?
What causes dysfunctional uterine bleeding?
What are symptoms of dysfunctional uterine bleeding?
What increases my risk of dysfunctional uterine bleeding?Being diagnosed:
How is dysfunctional uterine bleeding diagnosed?Getting treatment:
What treatment options do I have for dysfunctional uterine bleeding?
What kinds of medication can I take to reduce dysfunctional uterine bleeding?
What is the levonorgestrel IUD, and how does it help dysfunctional uterine bleeding?
What kinds of surgery are used to treat dysfunctional uterine bleeding?
What is endometrial ablation?
What is a hysteroscopy?
Should I use hormone therapy to treat dysfunctional uterine bleeding?I would definately call the doctor just incase
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QUESTION:
when should i go to the ER for dysfunctional uterine bleeding?
i have been bleeding really heavy for 8 days now with clotting! i am in some pain and feel sick to my stomache. i threw up once!! help i don’t know what to do-
ANSWER:
I would wait until tomorrow and call your gynecologist. I think they say if you’re soaking more than one pad an hour, you need to seek help. If you’re doing less than that, the insurance company might not pay for your ER bill.
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QUESTION:
Should a woman take birth control for dysfunctional uterine bleeding?
Should a woman who has heavy menstrual bleeding use birth control pills to help regulate bleeding and prevent/treat anemia?-
ANSWER:
Yes- but go consult with the doctor-they will know what is best for you & oyur body!
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QUESTION:
will it be ahrder for me to get pregnant is i have Dysfunctional Uterine Bleeding?
i just got diagnosed with this and i have no clue what some side effects would be. im on the pill or as most say birth control. but if i stop birth control or since i have only been useing it for four days will it be harder for me to get pregnant once the bleeding stops.?-
ANSWER:
Good luck getting pregnant!
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QUESTION:
Dysfunctional uterine bleeding what can I do to stop.?
I have had DUB for a while it can go as much as bleeding for 3 monthsn non stop. I went through some test done, biopsy, and aniema. I went through birth control and the depo shot and nothing helps. What should I do?-
ANSWER:
Hey, I’ve been through all the same stuff. They finally put me on Progestin and that has stopped the bleeding. However, I’ll have to stop taking it at some point and then I’m likely to start bleeding again. This happened a couple years ago and they had to do a D&C to make it stop. If you find out what’s going on, please let me know since we probably have the same problem.
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Dysfunctional Uterine Bleeding Dysfunctional Uterine Bleeding is abnormal bleeding from the uterus, usually associated with ovulation failure, in the absence of other detectable organic lesions. This is usually seen in women between the age of twelve and forty-five. It is important to note that this diagnosis should be made, and treatment attempted for this condition, […]