Dysfunctional Uterine Bleeding

Definition of Dysfunctional Uterine Bleeding:

Any abnormality of menstruation or bleeding caused by a hormonal disorder.  DUB is a diagnosis of exclusion.  The following conditions should be ruled out in order to diagnose DUB: endometrial polyps, uterine fibroids, adenomyosis, endometrial or cervical cancer, pelvic infection including endometritis (infection of the lining of the uterus), endometriosis, polycystic ovarian disease, ovarian cyst or tumor, thyroid dysfunction or blood clotting abnormalities.  Hormone testing may indicate abnormalities which replacement therapy would then resolve.  If the dysfunctional bleeding disappears, then no further testing may be necessary.

Failure to perform sufficient testing may result in an incorrect diagnosis of DUB because the true cause of the abnormal bleeding has been overlooked.  A premature diagnosis of DUB may lead to improper and failed treatment.  DUB accounts for approximately 20% of all hysterectomies in the U.S.

Also: DUB

Topics Related to Dysfunctional Uterine Bleeding


...the condition
“...It is one of many conditions sometimes caused by hormone irregularities, which can be labeled by the more general term, Dysfunction Uterine Bleeding – DUB.  Ovulation abnormalities are usually the cause of very irregular or frequently missed menstrual periods...”

Menorrhagia (Heavy Periods)

...the condition
“...Related conditions that may overlap with menorrhagia include ... Dysfunctional uterine bleeding (DUB) – abnormal endometrial bleeding of hormonal cause and related to anovulation...”
...relationship to Progesterone Low or Estrogen Dominance
“...Since hormone imbalances are often present in adolescents and in women approaching menopause, this type of menorrhagia (dysfunctional uterine bleeding) is fairly common in these groups.”

Ovarian Cysts

...our question about Non-menstrual bleeding
Dysfunctional uterine bleeding is commonly associated with an 'anovulatory cycle' – a menstrual cycle that does not result in the release of an egg from one of the ovaries...”
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