Dysfunctional Uterine Bleeding (DUB)
Abnormal or irregular uterine bleeding not related to pregnancy, structural disease, or infection - most commonly caused by hormonal imbalance and requiring timely gynecological evaluation.
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Overview & Clinical Approach
Abnormal uterine bleeding without any structural disease - commonly caused by hormonal imbalance.
Dysfunctional Uterine Bleeding (DUB) refers to abnormal, irregular or excessive uterine bleeding that occurs in the absence of pregnancy, infection, tumors or other pelvic disease.
DUB is frequently seen in adolescents and women approaching menopause, when hormonal fluctuations are common. At Maa Nursing Home, we provide accurate diagnosis and personalized treatment plans.
Types include Anovulatory Bleeding (when ovulation does not take place, leading to irregular/prolonged bleeding) and Ovulatory Bleeding (regular cycles with excessive flow).
Common Symptoms
- Heavy menstrual bleeding and bleeding between periods
- Prolonged menstrual cycles or irregular/missed periods
- Fatigue, weakness, and anemia due to excessive blood loss
Primary Causes & Risk Factors
- Anovulation - absence of ovulation leading to irregular, prolonged or heavy bleeding
- Hormonal imbalance affecting regular ovulatory cycles
- Common in adolescents and women approaching menopause
Diagnostic Procedures
- Detailed menstrual history and physical examination
- Ultrasound and blood/hormonal evaluation
- Endometrial biopsy in selected cases to rule out serious conditions
Treatment Steps
Medical Management
Hormonal therapy, oral contraceptives, progesterone or non-hormonal medications regulate cycles and reduce bleeding.
Iron Supplementation
Corrects anemia caused by excessive blood loss.
Surgical Treatment
Considered when medical treatment fails - includes procedures like D&C or hysteroscopy.
Follow-Up
Regular follow-up monitors cycle regularity, hormone balance and overall health.
Possible Complications
- Anemia due to chronic blood loss
- Hormonal imbalance affecting fertility
- Endometrial hyperplasia - thickening of the uterine lining
Key Treatment Benefits
- Ultrasound & hysteroscopic diagnostic evaluation
- Hormonal therapy & medical control tailored to age and fertility plans
- Minimally invasive surgical solutions when needed
- Prevents severe anemia and restores hormonal balance and fertility outcomes
Consultation for Dysfunctional Uterine Bleeding (DUB)
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