Dysfunctional Uterine Bleeding

Overview

Abnormal uterine bleeding is abnormal vaginal bleeding originating from the uterus, which may be too frequent, too prolonged, heavier than a normal period, or irregular. When no specific underlying cause is found, it is called dysfunctional uterine bleeding. It can lead to iron-deficiency anemia and affect quality of life. Causes include ovulatory problems, uterine fibroids, adenomyosis, endometrial polyps, underlying clotting disorders, side effects of contraception, or cancer. Treatment varies by cause and may include hormonal contraception, GnRH agonists, tranexamic acid, NSAIDs, or surgery such as endometrial ablation or hysterectomy.

Symptoms

• Menstrual irregularity
• Increased menstrual flow
• Prolonged menstruation
• Irregular bleeding
• Anemia

Treatment

After organic disease is excluded, sex hormones are used to regulate the menstrual cycle or stop bleeding, based on age and clinical condition.

Dietary advice

Supplement iron and high-quality protein to prevent and treat anemia; eat a balanced diet and avoid raw, cold, and irritating foods.