What is dysfunctional uterine bleeding in reproductive age

What is dysfunctional uterine bleeding in reproductive age?


Abnormal uterine bleeding is a pathological vaginal bleeding that develops without a visible pelvic pathology, and in the absence of clear disease or pregnancy. Clinical signs and symptoms of Abnormal uterine bleeding reflect an abnormality in the cyclic changes that prepare the endometrium to receive the zygote due to long term estrogenic stimulation of the endometrial lining especially in girls with normogonadotropic anovulation. Common signs and symptoms of dysfunctional uterine bleeding include irregular vaginal bleeding that lasts more than 7 days, irregular frequent menses that occur more often than every 21 days, and late periods with absence of menstruation form 35 days to 45 days. Generally, vaginal bleeding lasts 4 to 6 days.
 
In most cases, DUB is associated with ovulatory dysfunction. About 90% of cases are anovulatory, whereas about 10 percent of cases are ovulatory. AUB-O is the most common cause of AUB. In 50% of cases, it occurs most often in women older than 40 years of age 45, and in 20% of cases, it occurs in girls younger than 18. AUB-O is commonly treated with a short course of high-dose estrogen therapy. If this treatment isn't effective, a D&C may be done to scrap some of the endometrial tissue. When needed, volume replacement therapy lactated Ringer’s solution or a blood transfusion is used to quickly restore blood volume to normal. Find Out More: What are the symptoms of dysfunctional uterine bleeding?
 

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