Signs of Dysfunctional uterine bleeding

Dysfunctional Uterine Bleeding

Description

Irregular bleeding from the uterus that is not the result of a tumor of the uterus or a miscarriage. A hormone imbalance is the most common cause. The failure to ovulate is the most common hormone abnormality found in patients with dysfunctional uterine bleeding.

Symptoms

Abnormal vaginal bleeding, bleeding between normal menstrual cycles, mood swings, abnormal growth of hair.

Tests

A history and physical exam will be performed. Tests include: blood clotting profile, hormone levels (LH, FSH, androgen, progesterone), serum pregnancy tests-HCG (Human chorionic gonadotropin), thyroid studies-TSH (Thyroid Stimulating Hormone), and/or pelvic ultrasound.

Standard Workup

CBC
BHCG
Ultrasound

Treatment

Birth control pills or progesterone may be prescribed. Nonsteroidal Anti-inflammatory Drugs (NSAIDs) such as ibuprofen (Motrin) may be used during the menstrual cycle to inhibit prostaglandin production. Severe cases require endometrial ablation (burning of the uterine lining) or hysterectomy. Iron is given for co-existing anemia.