How to treat dysfunctional uterine bleeding in reproductive age

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 abnormal vaginal bleeding. In 50% of cases, it commonly occurs in women older than 45 years of age 45, and in 20% of cases, it occurs in girls younger than 18. Abnormal vaginal bleeding is commonly treated with a short course of high dose combined oral contraceptives. If this treatment isn't effective, a D&C may be performed to clear tissue from inside the uterus. When needed, volume replacement therapy lactated Ringer’s solution or a blood transfusion is used to quickly restore blood volume to normal. Read Next: What are the symptoms of dysfunctional uterine bleeding in reproductive age?

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