Dysfunctional Uterine Bleeding

Dysfunctional Uterine Bleeding is an unusual bleeding that is caused by hormonal dysfunctions (estrogen and progesterone).

It occurs most frequently in young girls that have recently got their period and in women who approach menopause. It can be treated with hormone-based medicines.

In most cases, during the menstruation the ovulation does not take place, and the respective woman cannot get pregnant. If no egg is released, the uterus lining continues to get thicker, instead of being flushed out like it should happen every month. Instead, the uterus lining is not fully and irregularly eliminated.

This condition is more often encountered in women who suffer from polycystic ovarian syndrome; it can lead to iron deficiency and sometimes anemia.

Symptoms:

  • Bleeding often (like having more than two periods in one month)
  • The bleeding is more abundant and it lasts for a longer time
  • It is irregular and frequent

Diagnosis

This condition is taken into account when all other possible causes for vaginal bleeding have been already ruled out, such as polycystic ovary syndrome, diseases that affect the capacity of blood to coagulate, pregnancy and related complications, use of birth control pills or drugs.

The medic can order full blood analysis in order to determine how serious is the bleeding and if the patient has anemia and what kind of hormones are imbalanced.

Also, a more complex physical examination is performed: through transvaginal ultrasonography, a doctor can determine whether there are odd growths in the uterus, that can lead to endometrial cancer.

The risk of developing uterus lining cancer is higher if the woman is over 35 years of age, if she is obese, suffers from polycystic ovarian syndrome, has an elevated blood pressure, suffers from diabetes.

In order to determine if the patient suffers from cancer, a biopsy is performed.

Treatment

Each treatment is adjusted to fit each patient, because the symptoms can vary from one person to another.

This problem can be treated by administering hormones, birth control pills. Also, different hormones are used for women of different ages – for example, women who are menopausal or postmenopausal have different treatment requirements.

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