Journal of Internal Medicine

What are the causes of dysfunctional uterine bleeding in adolescents Dysfunctional uterine bleeding is an irregular vaginal bleeding that occurs without a visible pelvic pathology, and in the absence of clear disease or pregnancy. Clinical manifestations of dysfunctional uterine bleeding reflect an abnormality in the cyclic estrogenic stimulation of the endometrial lining due to chronic estrogenic stimulation of the endometrial lining especially in girls with normogonadotropic anovulation. Common symptoms of dysfunctional uterine bleeding include irregular vaginal bleeding that lasts more than 7 days, irregular frequent periods that occur more often than every three weeks, and missed periods with absence of menstruation form 35 days to 45 days. Generally, vaginal bleeding lasts 4 to 6 days.   In most cases, DUB is associated with ovulatory dysfunction. About 90% of cases are anovulatory, whereas about ten percent of cases are ovulatory. AUB-O is the most common cause of AUB...

How to treat dysfunctional uterine bleeding in reproductive age Abnormal uterine bleeding is an irregular uterine bleeding that develops without clear pelvic pathologies, and in the absence of a general medical disease or pregnancy. Clinical presentations of dysfunctional uterine bleeding reflect a disorder in the cyclic changes that prepare the uterine lining to receive a fertilized egg due to long term exposure to unopposed estrogen especially in females with normogonadotropic anovulation. Common signs and manifestation of DUB include irregular vaginal bleeding that lasts more than 7 days, irregular frequent periods that occur more often than every three weeks, and late periods with absence of menses form 35 days to 45 days. Generally, menstrual bleeding lasts 4 to 6 days. In most cases, Abnormal uterine bleeding is associated with chronic anovulation. About ninety percent of cases are anovulatory, whereas about 10% of cases are ovulatory. AUB-O is the most common cause of abno...

What is a missed abortion A missed miscarriage is when the fetus is no longer developing nornally but a complete abortion has not yet occurred. A missed miscarriage is linked with a higher risk of miscarriage or spontaneous abortion. It is a condintion in which all of the products of conception and parts of the tissue remain in the uterus. It is also referred to as delayed abortion. The clinical manifestations of a Threatening abortion include uterine bleeding, pain, fever and lower back pain. Other symptoms include sadness, pale moist skin, low blood pressure, and guilt often occur afterwards. Intrauterine fetal death can lead to the clinical presentations of dead fetus syndrome with DIC, significantly lower plasma fibrinogen levels, and vaginal bleeding after delivery. Without prompt diagnosis and treatment, it can lead to a septic shock and death. A suction curettage is done along with oxytocin infusion for women in the second trimester of pregnancy to remove the retained preg...

What is an Ectopic Pregnancy? Ectopic pregnancy an abrnormal pregnancy in which the fetus attaches in the oviduct. Signs and symptoms of a tubal pregnancy usually include vaginal bleeding and pelvic pain. Less common symptoms may include nausea and vomiting. A female with a tubal pregnancy may feel early pregnancy signs and symptoms, such as amenorrhea, painful breasts, hungriness, urgency, nausea and vomiting. The basic treatment options include: monitoring, methotrexate and laparotomy. Read Next: What are the chances of an ectopic pregnancy ?