Management of abnormal uterine bleeding in reproductive. Guidelines for the management of abnormal uterine bleeding. Irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease, or pregnancy. Pdf dysfunctional uterine bleeding dub represents a particular type of. Weusethetermabnormalvaginalbleedingtorefer to all cases of irregular, heavy, or frequent bleeding. Definition dysfunctional uterine bleeding is condition where there is abnormal uterine bleeding without any pathological manifestation in genital tract and does not have a known organic cause. Jul 19, 2014 dysfunctional uterine bleeding slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Your monthly periods may last longer or shorter, and bleeding may be heavier or lighter than usual. Jan 01, 2012 abnormal uterine bleeding occurs in 9 to 14 percent of women between menarche and menopause, significantly impacting quality of life and imposing financial burden. The term dysfunctional uterine bleeding dub often is substituted, although true dub implies bleeding that is not due to underlying anatomic abnormalities or sys. Ovulatory dysfunctional uterine bleeding is the major pattern in 30s, whereas anovulatory dysfunctional uterine bleeding is more likely to occur at the extremes of reproductive years and in women who have polycystic ovarian syndrome. Abnormal uterine bleeding is a common problem encountered in general practice.
The term dysfunctional uterine bleeding dub has been used previously to define a diagnosis where there was no systemic or locally definable structural cause for the abnormal bleeding 2. Dysfunctional uterine bleeding is defined as bleeding that does not have an organic cause and is presumptively related to some endocrine disturbance. Dysfunctional uterine bleeding dub linkedin slideshare. You may have bleeding from your uterus at times other than your normal monthly period. Abnormal uterine bleeding murtaghs general practice, 6e. Discussion dysfunctional uterine bleeding is defined as heavy menstrual uterine bleeding not due to any recognisable cause and is therefore a. Disturbances of heaviness of flow heavy menstrual bleeding hmb. To access free multiple choice questions on this topic, click here. Evaluation and management of abnormal uterine bleeding in. Dysfunctional uterine bleeding is more common in the extremes of the reproductive era, while the incidence of cancer as a cause of bleeding is greatest in the perimenopausal and postmenopausal phases. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Anovulatory dysfunctional uterine bleeding may therefore occur and results in irregular. Ppt dysfunctional uterine bleeding powerpoint presentation.
Ppt abnormal uterine bleeding powerpoint presentation. Your monthly periods may last longer or shorter, and bleeding may be. It is estimated that 5% of women between the ages 30 and 49 will seek treatment each year for dysfunctional uterine bleeding dub. Most commonly, dysfunctional uterine bleeding dub is due to an immature hypothalamuspituitaryovarian axis leading to anovulatory cycles.
Abnormal or impaired functioning of a bodily system or organ. Dysfunctional uterine bleeding powerpoint presentation 7. Dysfunctional uterine bleeding free download as powerpoint presentation. Clinical practice clinical update dysfunctional uterine. Feb 06, 2020 dysfunctional uterine bleeding, also called anovulatory bleeding, is any bleeding from the vagina that varies from a womans normal menstrual cycle. The diagnosis of exclusion for heavy bleeding or prolonged bleeding previously dubbed dysfunctional uterine bleeding dub is now referred to as abnormal uterine bleeding aub. Gyne dysfunctional uterine bleeding menstrual cycle. Abnormal uterine bleeding diagnosis code free pdf ebook. Jun 21, 2016 definition dysfunctional uterine bleeding is condition where there is abnormal uterine bleeding without any pathological manifestation in genital tract and does not have a known organic cause. Dysfunctional definition of dysfunctional by the free.
Dysfunctional uterine bleeding is defined as abnormal uterine bleeding in the absence of organic disease. The figo menstrual disorders group, with input from international experts, recommended a simplified description of abnormal bleeding that discarded imprecise terms such as menorrhagia, metrorrhagia, hypermenorrhea, and dysfunctional uterine bleeding dub in favor of plain english descriptions of bleeding that describe the vaginal bleeding in. Dysfunctional uterine bleeding dub is the diagnosis given to women with abnormal uterine bleeding in whom no clear etiology can be identified. The management of dysfunctional uterine bleeding glowm. Dysfunctional uterine bleeding slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.
Dysfunctional uterine bleeding definition of dysfunctional. Failure to achieve or sustain a behavioral norm or expected. Menarche occurs from 916 years with an average of 12. Dysfunctional uterine bleeding online video lecturio. Definition dysfunctional uterine bleeding is irregular, abnormal uterine bleeding that is not caused by a tumor, infection, or pregnancy. In ovulatory dysfunctional uterine bleeding, generally circulating ovarian hormone levels. Heavy menstrual bleeding is the commonest cause of irondeficiency anaemia in the western world. Uterine and systemic causes must be excluded before the diagnosis is made. The relationship between age and various causes of abnormal uterine bleeding. It reflects a disruption in the normal cyclic pattern of ovulatory hormonal stimulation to the endometrial lining. It is very common in adolescents and is a clinical diagnosis. Management of abnormal uterine bleeding in reproductive period. The pathophysiology is not fully understood and it is complex.
Dysfunctional uterine bleeding what you need to know. What is the treatment for dysfunctional uterine bleeding. Dysfunctional uterine bleeding dub, the most common cause of abnormal uterine bleeding, occurs most often in women 45 50% of cases and in adolescents 20% of cases. If you continue browsing the site, you agree to the use of cookies on this website.
Abnormal uterine bleeding aub is a common problem among women in the reproductive age. Pdf dysfunctional uterine bleeding dub represents a particular type of abnormal uterine bleeding aub, and is defined in the usa as an excessive. Abnormal uterine bleeding is a frequent condition in gynecology. Feb 03, 2020 what is dysfunctional uterine bleeding. Department of obstetrics and gynecology uksmwichita introduction dysfunctional uterine bleeding dub is defined. It is responsible for about half of the women with abnormal uterine bleeding in reproductive age ewenstein, 1996. This will depend on the cause of the abnormal uterine bleeding if a chronic illness or a blood disorder is at the root of your symptoms, treating that can help. Dysfunctional uterine bleeding article about dysfunctional. Dysfunctional uterine bleeding dub is the major cause of heavy menstrual bleeding and impacts on womens health both medically and socially. Dysfunctional uterine bleeding is prolonged, excessive or frequent, unpatterned uterine bleeding that is not related to an anatomical uterine abnormality or systemic cause. Polyps or fibroids small and large growths in the uterus can also cause bleeding.
Guidelines for the management of heavy menstrual bleeding. Anovulatory dysfunctional uterine bleeding may therefore occur and results in irregular, prolonged, and sometimes heavy menstrual bleeding. This has been highlighted in the rcog guidelines with an exception of. The causes of abnormal uterine bleeding are varied, depending largely on the age and life stage of the women. Dysfunctional uterine bleeding, also called anovulatory bleeding, is any bleeding from the vagina that varies from a womans normal menstrual cycle. Dysfunctional uterine bleeding is a common problem in women in the 3050 years age group. The normal cycle is triggered by signals from hormones. Dysfunctional uterine bleeding an overview sciencedirect. A classification of abnormal uterine bleeding is presented in table 102. This is the most common clinical presentation of aub.
Abnormal uterine bleeding is one of the most common reasons for women to seek for care. Aub leads to loss of productivity1 and may result in surgical interventions including hysterectomy2. The diagnosis of dub depends on a thorough history and physical examination to exclude organic disorders. Abnormal vaginal bleeding in adolescents susan hayden gray. Dysfunctional uterine bleeding is the diag nosis in. Aub may be accompanied by pain and discomfort, cause significant social embarrassment, and have a substantial effect on healthrelated quality of life. Abnormal uterine bleeding dysfunctional uterine bleeding ncbi. Dysfunctional uterine bleeding occurs when the normal cycle of menstruation is disrupted, usually due to anovulation failure to ovulate thats unrelated to another illness. The common causes in women of reproductive age include pregnancy and pregnancyrelated disorders, medications, iatrogenic causes, systemic conditions, genital tract pathology, and dysfunctional uterine bleeding anovulatory or ovulatory. Dysfunctional uterine bleeding powerpoint presentation. Diagnosis of exclusion when there is no pelvic pathology or underlying. Dysfunctional uterine bleeding is more common in the extremes of the reproductive era, while the incidence of cancer as a cause of bleeding is greatest in the perimenopausal and. It may be associated with ovulatory and anovulatory cycles.
Abnormal uterine bleeding is a common presenting symptom in the family practice setting. February 2015 dysfunctional uterine bleeding these crazy. Abnormal uterine bleeding formerly, dysfunctional uterine bleeding dub is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease, or pregnancy. Treatment options for dysfunctional uterine bleeding. Dysfunctional uterine bleeding dub is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease, or pregnancy. Ovulation failure is the most common type of dub in adolescents and in women who are reaching perimenopause. Abnormal uterine bleeding geneva foundation for medical. This can include alternating periods that are heavy and light, spotting or.
Bleeding between periods intermenstrual bleeding this replaces menometrorrhagia painful periods remains dysmenorrhea. The normal menstrual cycle consists of a proliferative and a nonproliferative stage, separated by the midcyclic point of ovulation. Dec 07, 2018 abnormal uterine bleeding formerly, dysfunctional uterine bleeding dub is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease, or pregnancy. Nursing care plan dysfunctional uterine bleeding vylyz0yzze4m. Dysfunctional uterine bleeding dub is defined as abnormal uterine bleeding that results from an ovarian endocrinopathy. Dysfunctional uterine bleeding dub is abnormal uterine bleeding that is caused by a problem with your hormones. Dysfunctional uterine bleeding describes the spectrum of abnormal bleeding patterns in the. Abnormal uterine bleeding is a common, debilitating condition. The figo systems first define the abnormal uterine bleeding, then give an.
Dysfunctional uterine bleeding is a diagnosis of exclusion. Abnormal uterine bleeding is a common presenting complaint in gyanecology out patient department. Abnormal uterine bleeding aub is a broad term that describes irregularities in. Dysfunctional uterine bleeding describes the sp ectrum of abnormal bleeding patterns in the abscence of a medical illness or pelvic pathology. Generally, it is either part of a normal menstrual cycle or is caused by hormonal or other problems of the reproductive system, such as abnormal uterine bleeding. Vaginal bleeding is any bleeding through the vagina, including bleeding from the vaginal wall itself, as well as and more commonly bleeding from another location of the female reproductive system, often the uterus. All these conditions associated with menorrhagia can be referred to as dysfunctional uterine bleeding, although it is also possible to have some conditions such as fibroids or an anatomical abnormality with normal menses. Gyne dysfunctional uterine bleeding free download as powerpoint presentation. A free powerpoint ppt presentation displayed as a flash slide show on id. The focus in this policy is on treatment options when the bleeding pattern is abnormal.
Selected gynecologic disorders in marx ja, hockberger rs, walls rm, et al eds. The term dysfunctional uterine bleeding was used when no underlying cause was present. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. Communications icd9cm and icd10cm codes for gynecology and obstetrics. A variety of things can cause abnormal uterine bleeding. Abnormal uterine bleeding murtaghs general practice, 7e. Description dysfunctional uterine bleeding dub is a disorder that occurs most frequently in women at the beginning and end of their reproductive lives. Dub has been observed in both ovulatory and anovulatory cycles. This revision is part of the series, guidelines and recommendations. Dysfunctional uterine bleeding and uterine fibroids. Histopathological evaluation of the endometrial samples plays a significant role in the diagnosis. Abnormal uterine bleeding aub is a common and debilitating condition with high. Abnormal uterine bleeding aub, also known as atypical vaginal bleeding, is vaginal bleeding from the uterus that is abnormally frequent, lasts excessively long, is heavier than normal, or is irregular. Dysfunctional uterine bleeding occurs when the cycles hormonal signals get thrown off.
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