Dysfunctional Uterine Bleeding - Symptoms, Treatment


1. reasons for dysfunctional uterine bleeding

2. clinical picture DMK

3. diagnostic methods

4. Treatment of dysfunctional uterine bleeding

5. Complications of abnormal uterine bleeding

6. Prevention uterine bleeding

Dysfunctional uterine bleeding (DUB) are bleeding from the uterus that are not associated with organic diseases of the uterus, pregnancy and systemic disorders.This pathology is a widespread problem among the fairer sex at the age of 30-50 years.

The normal duration of a menstrual period ranges from 21 to 35 days.With regard to the duration of menstrual bleeding, it is 3-7 days.The amount of blood lost varies from 40 to 80 ml.Based on these indicators, the diagnosis of dysfunctional uterine bleeding blood loss is put at more than 80 ml, increasing the duration of menstrual bleeding for more than 7 days, and, in violation of cyclical bleeding.

Today distinguish DMK juvenile (from 12 to 18 years), reproductive (from 18 to 45 years) and menopause (45 t

o 55 years) periods.Also, there are ovular and anovulyarnye MQM.Depending on the degree of violation are the following uterine bleeding: polimenoreya (very frequent menstruation, which have an interval of less than 21 days), metrorrhagia (intermenstrual, irregular bleeding from the uterus), menorrhagia (prolonged or excessive menstrual period at regular intervals), menometrorrhagias (long,irregular uterine bleeding).At the present time, uterine bleeding - this is one of the most common hormonal abnormalities genitalia in most women.

reasons for dysfunctional uterine bleeding

Juvenile DMK usually caused aborted cycling uterus departments, ovaries, pituitary and hypothalamus.

Speaking of childbearing age (reproductive period), the most frequent causes of uterine bleeding are diseases of the endocrine glands, inflammatory processes of sexual sphere, stress, and psychogenic factors, acute and chronic toxicity, occupational hazards, physical and mental fatigue, surgical abortion andetc..

Dysfunctional uterine bleeding menopause provokes the extinction of hormonal function, which leads to a violation of the regulation of the menstrual cycle.

clinical picture DMK

nature and severity of symptoms in abnormal uterine bleeding depends on changes in the ovaries.Any kind of MQM is considered a violation of the menstrual cycle, which is manifested by the following symptoms:

  • Menses at intervals of less than 21 days or more than 35 days.
  • Abundant irregular or regular menses, which have a duration of seven days whiter.
  • absence of bleeding from the uterus for more than 6 months (women of childbearing age), unless, of course, there is no lactation and the woman is not pregnant.

Anovulyarnye uterine bleeding manifested as a delay menstruation for more than 1.5 months.After this period there bleeding lasting more than 7 days.

At times it is very difficult to distinguish normal from abnormal menstruation uterine bleeding, especially if menstruation starts on time or with a small delay.Every woman must know that the length of a normal menstrual period usually ranges from 3 to 7 days.Also, menses must not be heavy (up to 80 ml of blood loss).If a woman is found out in itself a violation of the menstrual cycle, it is urgently necessary internal consultation of the doctor-gynecologist, because the DMC can lead to serious complications, especially in the case of dysfunctional uterine bleeding menopause.Every woman in this age needs a proper and adequate advice, which can only be given by doctors.Therefore, at the slightest suspicion of this pathology of all the fairer sex are obliged to consult specialists in this field.

diagnostic methods

diagnosis of abnormal uterine bleeding include:

  • Gynecological examination.
  • Ultrasound examination of the pelvic organs.
  • cytology.
  • hysteroscopy (examination of the uterus using a hysteroscope).
  • study of thyroid hormones.
  • study the hormonal profile.
  • Histological examination of scrapings, which was obtained from the cervix and uterus.
  • pituitary study (computed tomography, radiography, magnetic resonance imaging of the brain).

Treatment of dysfunctional uterine bleeding

treatment methods depend on the type of DMC concomitant gynecologic pathology and the patient's age.Today, there are two types of treatment: conservative and surgical.If ovulatory abnormal uterine bleeding is assigned to conservative treatment.As for anovulatory DUB, here already it is necessary and timely, and conservative treatment.Anovulatory bleeding juvenile period is also treated in a conservative manner.By resorting surgery at this age only in emergency situations.

Conservative treatment of dysfunctional uterine bleeding involves the use of hormones in order to normalize the menstrual cycle, stop the bleeding, preventing MQM in the future and restore fertility.

today resorted to oral contraceptives such as: Logest, Janine, Yarina, regulon Utrozhestan, Norkolut, Duphaston, Zoladex, Buserelin, Diferelin and so on.

Surgical treatment of dysfunctional uterine bleeding - a separate treatment and diagnostic curettage of the cervical canal and uterine cavity with a hysteroscopy.The period of rehabilitation carried out restorative measures for the full and rapid recovery of the patient.

Complications of abnormal uterine bleeding

Complications MQM include:

  • Chronic anemia.Very often in acute bleeding develops a state of shock, which can be fatal.
  • infertility in their reproductive years.Even if a woman with DMC and became pregnant, she has a higher risk of miscarriage in the early stages.
  • Endometrial cancer.This disorder usually occurs in long anovulatory DMC.

Prevention uterine bleeding

Preventive measures include DMK:

  • rejection of abortion.
  • Hormonal contraceptives.
  • Regular visits to the gynecologist.
  • correction of existing endocrine disorders.
  • weight control and exercise.
  • regular sexual life.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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