Please be patient! It may take up to ONE minute to load all the Engines.
Problems? Please contact our support.
Dysfunctional uterine bleeding (DUB)
Alternative namesAnovulatory bleeding; Bleeding - dysfunctional uterine; DUB
DefinitionDUB is abnormal vaginal bleeding which occurs during menstrual cycles where ovulation did not take place (no egg was produced).
Causes, incidence, and risk factors
Anovulatory or dysfunctional uterine bleeding is a diagnosis of exclusion. This means that it is determined ONLY after other causes of abnormal uterine bleeding (such as systemic diseases, medications, early pregnancy disorders, eating disorders , gynecological infections, structural anomalies, or tumors) have been ruled out.
Signs and tests
A pelvic examination will be performed.
Diagnostic procedures that may be performed include:
Young women within several years of menarche (the initial menstrual period) are not treated unless symptoms are exceptionally severe (such as heavy blood loss causing anemia ).
Women whose symptoms are severe and resistant to medical therapy may choose surgical treatments including endometrial ablation (a procedure that burns or removes the lining of the uterus) or hysterectomy.
Expectations (prognosis)Hormonal regulation is usually successful in alleviating symptoms. Induced ovulation, in women desiring pregnancy, is successful in approximately 80% of cases.
Calling your health care providerCall your health care provider if you have unusual vaginal bleeding .
Update Date: 5/3/2002Peter Chen, M.D., Department of Obstetrics & Gynecology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT