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Dysfunctional Uterine Bleeding

Abnormal uterine bleeding without an organic cause.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Dysfunctional Uterine Bleeding?

Dysfunctional uterine bleeding (DUB) is now classified within the PALM-COEIN system as 'AUB-O' (anovulatory) and 'AUB-E' (endometrial dysfunction). It accounts for 50% of abnormal uterine bleeding cases.

Anovulatory cycles are most common in adolescents and the perimenopausal period; the absence of progesterone causes the endometrium to grow continuously under the influence of estrogen and to shed irregularly. Polycystic ovary syndrome and obesity are the most frequent underlying conditions.

Diagnosis is made after excluding organic causes (myoma, polyp, malignancy). Treatment includes hormonal therapy (combined OCP, progesterone), tranexamic acid, levonorgestrel-IUD, endometrial ablation, or hysterectomy.

Symptoms

Heavy menstrual bleeding (>80 mL)
Prolonged bleeding (>7 days)
Frequent menstruation (<21 day intervals)
Intermenstrual bleeding
Pallor and fatigue (anemia)
Dizziness, palpitations
Disruption of daily life

Risk Factors

Adolescence (early years after menarche)
Perimenopausal period (40-50)
Polycystic ovary syndrome
Obesity
Thyroid dysfunction
Coagulation disorder (von Willebrand)
Stress and excessive exercise

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Heavy/prolonged menstrual bleeding
  • Frequent menstruation
  • Bleeding after intercourse
  • Symptoms of anemia (pallor, fatigue)
  • Bleeding for over 6 months

Treatment Methods

01
Pelvic ultrasound and hormone profile
02
Endometrial biopsy (>45 years)
03
Hysteroscopy if needed
04
Combined oral contraceptive
05
Levonorgestrel-IUD
06
Tranexamic acid (during menstruation)
07
Endometrial ablation or hysterectomy (refractory)

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.