Dysfunctional Uterine Bleeding

Dysfunctional Uterine Bleeding (DUB) is the most common cause of functional abnormal uterine bleeding, which is abnormal genital tract bleeding based in the uterus and found in the absence of demonstrable organic pathology. Diagnosis must be made by exclusion, since organic pathology must first be ruled out. It can be classified as ovulatory or anovulatory, depending on whether ovulation is occurring or not. Ultrasound or hysteroscopy is often used to determine the absence of organic pathology and your doctor may recommend an endometrial biopsy to evaluate the inner lining of the uterus or endometrium. Often, anemia results from this dysfunctional pattern of bleeding leading to poor performance, fatigue and tiredness.

Any bleeding after Menopause should be immediately evaluated with an endometrial biopsy to rule out the presence of malignancy. Other causes of postmenopausal bleeding include hormone replacement therapy break thru bleeding and vaginal atrophy.

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