Dysfunctional uterine bleeding (DUB) is abnormal bleeding from the vagina that is due to changes in hormone levels. Bleeding of the following situations is abnormal:
Bleeding between periods
Bleeding after sex
Spotting anytime in the menstrual cycle
Bleeding heavier or for more days than usual
Bleeding after menopause.
Polyps or fibroids
For the entire above problem, you need to consult a gynecologist. Based on your symptoms, the gynecologist might recommend the following tests:
Sonohysterography-in which fluid is sent in the uterus through a thin tube, while ultrasound images are made of the uterus.
Ultrasound-pictures of pelvic organs are made through sound.
Magnetic resonance imaging- powerful magnets are used to create images of internal organs.
Hysteroscopy-the inside of the uterus is viewed through a thin device inserted through the vagina and the opening through the cervix.
Endometrial biopsy- tissue is taken from the lining of the uterus using a small and thin catheter.
Complete blood count and thyroid function tests.
The treatment includes taking oral contraceptives to suppress the endometrial development, normalize bleeding pattern and lower the risk of iron deficiency.
Estrogen is given which induces a normal endometrial growth.
Progestin is given because chronic management of AUB requires episodic or continuous exposure to a progestin.
Desmopressin is the last resort to treat abnormal uterine bleeding in patients with documented coagulation disaster.
Some women with polyps or fibroids require surgery in the form of hysterectomy to remove them.
Endometrial ablation can also be used to control bleeding.
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