DYSFUNCTIONAL UTERINE BLEEDING (DUB)
Dysfunctional uterine bleeding is the excessive uterine bleeding where no organic cause (systemic, hematological or pelvic) can be detected.
Dysfunctional uterine bleeding is classified as follow.
- Regular bleeding(ovular) -: Menorrhagia, polymenorrhoea, polymenorrhagia (ovular)
Aetiology. No menstrual endocrinal dysfunction is found.
- Irregular bleeding (anovular)-: This type is seen in puberty, premenopausal, obesity, PCOD. This type shows menstrual endocrinal dysfunction irregular heavy bleeding.
Prolonged bleeding often preceded by period of amenorrhea for a month or two.
Bleeding is painless.
This is commonly seen in premenopausal and adolescence.
Premenstrual spotting occurs.
Woman bleeds irregularly following menstruation.
Irregular bleeding in young girl or premenopause.
Clinical Features of Dysfunctional Uterine Bleeding
The disease may occur at any time during reproductive life especially at puberty (puberty-adolescent group before 20 years), before menopause (perimenopausal group after 40 years), and after child-birth or abortion (maturity group between 20-40 years.Parous women are more affected than nulliparous ones. The disease is common during the premenopausal years.
- Menorrhagia– abnormally long, heavy periods. This type of period can be a symptom of DUB, or many other diseases or disorders. In menorrhagia, menstrual periods occur regularly, but last more than seven days, and blood loss IS excess. Passing blood clots is common. Between 15–20% of healthy women experience debilitating menorrhagia that interferes with their normal activities. Menorrhagia may or may not signify a serious underlying problem.
- Polymenorrhoea– Polymenorrhea describes the condition of having too frequent periods. Periods occur more often than every 21 days, and ovulation usually does not occur during the cycle.
- Metrorrhagia– Metrorrhagia is bleeding between menstrual periods. Bleeding is heavy and irregular as opposed to ovulatory spotting which is light bleeding, in mid-cycle, at the time of ovulation.
- There may be prolonged painless bleeding often preceded by a period of amenorrhoea for a month or two (metropathic bleeding )
- Symptoms due to severe anemia following excessive blood loss e.g. palpitation, weakness, etc, may be present.
Patient is anemic. Seldom, the patient may be in the exsanguinated state. Patient can be obese or with features with PCOD.
Clinical diagnosis of dysfunctional uterine haemorrhage is arrived at careful exclusion of all possible organic causes of abnormal uterine haemorrhage viz, systemic (severe hypertension, hepatic dysfunction, pulmonary tuberculosis), haematological (blood disorders), endocrinopathy and pelvic.
Tests and Examinations
The proper dysfunctional uterine bleeding treatment can be initiated only after its correct diagnosis. The health care provider may perform a Pap smear and will do a pelvic examination. Tests that may be done include:
- Blood clotting profile
- Complete blood count (CBC)
- Hormone tests : FSH, LH, Androgen (male hormone) levels, Prolactin and Progesterone
- Thyroid function tests
- Pregnancy test
- Pap smear test to look for infection
The doctor may recommend the following:
- Biopsy : to detect infection or cancer.
- Hysteroscopy: to see inside the uterus through the vagina.
- Transvaginal ultrasound: to detect any harm in the uterus or pelvis.
Homeopathic Medicines not only check bleeding but also eradicate the actual cause of dysfunctional uterine bleeding. Most of the cases of DUB can be cured permane
ntly by regular homeopathic treatment. Opting homeopathy is a better alternate to surgery and hormonal treatments.
The functional hormonal balance is restored without hormonal drugs and their side effects. The hormonal balance is restored by the action of homeopathic treatment on uterus, ovaries, thyrioid other glands and whole of body. The nervous system, blood vessels and muscles are toned and the mind is also calmed down.
For online homeopathic treatment of DUB ,please see through our online treatment part.