Dysfunction uterine bleeding/abnormal menstural bleeding

Abnormal menstural bleeding is a disorder that occurs in women of reproductive age characterized by irregular or unusual bleeding occurring with no identifiable anatomic pathology


  • Adenomyosis
  • hormonal imbalance
  • pregnancy
  • polycystic ovary syndrome
  • hypothyroidism
  • fibroid tumor



-prolong follicular phase

-bleeding occur at an interval of more than 35 days


-defect of luteal phase

-bleeding occurs at an interval of less than 21 days


-heavy mensural flow occurs(780 ml) for >7 days

Bleeding occurs at normal interval (21-35) days


-painful mensuration in regular cycle

Clinical features;

  • bleeding associated with following signs; hypovolemia/hypotension, tachycardia ,diaphoresis & pallor
  • pelvic speculum and vaginal examination revels trauma to vaginal wall retained foreign body ,laceration, bleeding from os
  • sign of women with polycystic ovary hyperandrogenism ,obesity, palpable ovaries
  • on abdominal examination ;tenderness ,palpable masses


medical treatment

-combined oral contraceptives



surgical treatment

-endometrial ablation




Leave a Reply

Your email address will not be published. Required fields are marked *