Anovulatory bleeding; Bleeding - dysfunctional uterine; DUB; Abnormal uterine bleeding; Menorrhagia - dysfunctional; Polymenorrhea - dysfunctional; Metrorrhagia - dysfunctional
A woman with dysfunctional uterine bleeding may notice the following changes in her menstrual cycle:
- Bleeding or spotting from the vagina occurs between periods
- Menstrual periods may be less than 28 days (more common) or more than 35 days apart
- Time between menstrual periods changes with each cycle
- Bleeding is heavier (passing large clots, needing to change protection during the night, soaking through a sanitary pad or tampon every hour for 2 - 3 hours in a row)
- Bleeding lasts for more days than normal or for more than 7 days
Other symptoms caused by changes in hormone levels are:
- Excessive growth of body hair in a male pattern (
- Hot flashes
- Mood swings
- Tenderness and dryness of the vagina
A woman may feel tiredness or fatigue if she is losing too much blood over time and becomes
Signs and tests
The health care provider will do a pelvic examination.
Lab tests may include:
- Blood clotting profile
- Hormone tests
- Male hormone (androgen) levels
Serum or urine HCG(to rule out pregnancy) Thyroid function tests
- Culture to look for infection
The following procedures may be done:
Endometrial biopsymay be done to look for infection, precancer, or cancer, or to help decide on hormone treatment.
- Hysteroscopy is an office procedure in which the doctor inserts a flexible tube with a light and a tiny camera on the end into the uterus through the vagina.
Transvaginal ultrasoundmay be done to look for abnormalities in the uterus or pelvis.