What is Dysfunctional uterine bleeding?
Dysfunctional uterine bleeding is the irregular bleeding from the uterus.
What causes dysfunctional uterine bleeding?
Dysfunctional uterine bleeding is usually caused by abnormal changes in hormone levels. In some cases the cause of the bleeding is not known.
Under normal circumstances one of the ovaries releases an egg during the menstrual cycle, this process is called ovulation. Dysfunctional uterine bleeding is often triggered when women do not ovulate.
This causes abnormal changes in hormone levels and in some cases it can lead to unexpected vaginal bleeding.
Symptoms of dysfunctional uterine bleeding may include:
- The time between each periods changes each month.
- Spotting or Bleeding from the vagina between periods.
- If the periods occur less than 28 days apart or more than 35 days apart.
- Heavier bleeding (such as needing to change protection during the night, passing large clots, soaking through a sanitary pad every hour for 2 – 3 hours in a row).
- Bleeding lasts for more days than normal or for more than 7 days.
Young women within a few years of their first period are often not treated unless symptoms are very severe, such as heavy blood loss causing anemia.
In other women, the goal of treatment is to control the menstrual cycle. Treatment may include:
- Ibuprofen or naproxen taken just before the period starts.
- Birth control pills or progesterone only pills.
- Intrauterine device (IUD) that releases the hormone progestin.
- The doctor may also recommend iron supplements for women with anemia.
If you want to get pregnant, you may be given medication to stimulate ovulation.
Women with severe symptoms that do not get better with other treatments may consider the following procedures if they no longer want to have children:
- Endometrial ablation or resection to destroy or remove the lining of the uterus
- Hysterectomy to remove the uterus
- D and C to remove polyps and diagnose certain conditions