Dysfunctional Uterine Bleeding

Abstract

Dysfunctional Uterine Bleeding (DUB): excessive, prolonged, or irregular uterine bleeding in a reproductive aged woman who lacks pelvic organ disease or a systemic disorder. Menorrhagia: excessive uterine bleeding occurring at the regular intervals of menstruation, the period of flow being greater than usual in duration Metrorrhagia: uterine bleeding of a normal amount, occurring at completely irregular intervals Menometrorrhagia: excessive uterine bleeding occurring both during the menses and at irregular intervals Oligomenorrhea: markedly diminished menstrual flow; relative amenorrhea; infrequent menstruation Hypermenorrhea: excessive uterine bleeding occurring at regular intervals, the period of flow being of usual duration Hypomenorrhea: uterine bleeding of less than normal amount occurring at regular intervals, the period of flow being of the same or less than usual duration GENERAL CONSIDERATIONS • 10-15% of pts referred to gynecologists are treated for DUB. Half of these are perimenopausal; 20% are perimenarchal and the rest are in the reproductive age group • Most cases of DUB are associated with ovulatory dysfunction. • You MUST make the correct dx to rx properly!