Dysfunctional uterine bleeding (DUB)

Injury Disease Nutrition Poison Symptoms Surgery Test Special Topic

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Normal uterine anatomy (cut section)

Overview Symptoms Treatment Prevention

Dysfunctional uterine bleeding (DUB)

• Vaginal bleeding between periods
• Abnormal menstrual periods
• Variable menstrual cycles (usually less than 28 days between menstrual periods)
• Variable menstrual flow ranging from scanty to profuse
• Infertility
• Mood swings
• Hot flashes
• Vaginal tenderness
• Hirsuitism -- excessive growth of body hair in a male pattern

A pelvic examination will be performed.

Tests to evaluate women with DUB usually include:

• CBC
• Serum HCG (to rule out pregnancy)
• Thyroid function tests specific hormonal regulation tests
  • Prolactin
  • Androgen levels
  • FSH (follicle-stimulating hormone)
  • LH (luteinizing hormone)

Diagnostic procedures that may be performed include:

• Endometrial biopsy
• D and C (dilatation and curettage)
• Pelvic ultrasound
• Hysteroscopy

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