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Updated: Jan 6 2016

Dysfunctional Uterine Bleeding

  • Introduction
    • Abnormal frequency and intensity of menses
      • polymenorrhea - frequent
      • oligomenorrhea - infrequent
      • hypomenorrhea - low intensity bleeding
      • hypermenorrhea - high intensity bleeding
      • metrorhagia - frequent but irregular bleeding
      • menometrorrhagia - high intensity, irregular bleeding
    • Most commonly occurs at the beginning (puberty) or end (menopause or perimenopause) of menses
      • typically a result of anovulation (anovulatory dysfunctional uterine bleeding)
        • without a corpus luteum there is an estrogen-progesterone inbalance
          • progesterone is required for maintenance of endometrium
      • may also occur with ovulation (inadequate luteal phase)
        • inadequate maintenance/maturation of corpus luteum
    • Bleeding past menopause is most commonly endometrial hyperplasia/cancer
  • Treatment
    • Medical (anovulatory, inadequate luteal phase)
      • progesterone
      • OCP
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