Dysfunctional uterine bleeding
What is dysfunctional uterine bleeding?
Dysfunctional uterine bleeding
is a disease that attacks the uterus. Dysfunctional uterine bleeding is abnormal genital zone bleeding based in the uterus and found in absence of demonstrable structural or organic pathology. This means that the genitalia of the woman are bleeding because of the absence of something structural in the womb structure or something caused organic pathology. This bleeding case is different from menstruation since dysfunctional uterine bleeding may also happen outside the menstruation period. However, not all people realize it since this is typical with the menstruation since they outcome the blood.
Dysfunctional uterine bleeding is actually not so famous around the talk. This is rarely been known, so only few people know that dysfunctional uterine bleeding is divided into two types. The first is ovulatory DUB (dysfunctional uterine bleeding). Ovulatory DUB only occurs in 10% of the cases. The cases occur when the women are ovulating, but progesterone secretion is prolonged because estrogen levels are low. This condition causes irregular shedding of the uterine lining and breaks through bleeding. Some evidences relate ovulatory DUB with more fragile blood vessels in the uterus.
The second type is anovulatory DUB. Anovulatory menstrual cycles are common at the extremes of reproducing age such as puberty and perimenopause or the period around the menopause. This type of dysfunctional uterine bleeding occurs in 90% of the cases. In this case, women do not develop and release mature egg. It makes the corpus luteum, a mound of tissue that produces progesterone does not form and make the production of estrogen happen continuously. The rest of the process is the same as the ovulatory DUB. The etiology of the DUB can be psychological stress, obesity, anorexia, a rapid change of weight, exercise, endocrinopathy, neoplasm, drugs, or maybe otherwise idiopathic.
To overcome the dysfunctional uterine bleeding, some therapy is needed. The drug of choice is progesterone. Management of dysfunctional uterine bleeding predominantly consists of reassurance, though mid-cycle estrogen and late-cycle progestin can be used for mid- and late-cycle bleeding respectively. Non specific hormonal therapy can also be given such as combined high dose of estrogen and high dose progestin. The goal of the therapy should be to stop the bleeding, replace the lost iron to prevent the anemia, and also prevention of further bleeding. That is all about dysfunctional uterine bleeding. So now, if you hear about dysfunctional uterine bleeding, you have known bit information of it.
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