What is abnormal uterine?
Uterine Bleeding: Abnormal Uterine Bleeding. Abnormal uterine bleeding is bleeding between monthly periods, prolonged bleeding or an extremely heavy period. This can be caused by hormone changes, cancer, fibroids, polyps or early pregnancy.
What does abnormal uterine bleeding mean?
Abnormal uterine bleeding (AUB) is bleeding from the uterus that is longer than usual or that occurs at an irregular time. Bleeding may be heavier or lighter than usual and occur often or randomly. AUB can occur: As spotting or bleeding between your periods. After sex.
Can you get pregnant with abnormal uterine bleeding?
Dysfunctional uterine bleeding can affect your ability to become pregnant. 90% of women with dysfunctional uterine bleeding do not regularly ovulate, and therefore have great difficulty trying to get pregnant.
What are the symptoms of a damaged uterus?
Some common symptoms of uterine problems include:
- Pain in the uterine region.
- Abnormal or heavy vaginal bleeding.
- Irregular menstrual cycle.
- Abnormal vaginal discharge.
- Pain in the pelvis, lower abdomen or rectal area.
- Increased menstrual cramping.
- Increased urination.
- Pain during intercourse.
How common are uterine abnormalities?
Congenital uterine anomalies occur in less than 5% of all women, but have been noted in up to 25% of women who have had miscarriages and/or deliveries of premature babies. When a woman is in her mother’s womb, her uterus develops as two separate halves that fuse together before she is born.
What is the differential diagnosis of abnormal uterine bleeding?
Differential Diagnosis of Abnormal Uterine Bleeding. Estrogen withdrawal bleeding is usually self-limited and tends not to recur if estrogen levels remain low. Progesterone breakthrough bleeding occurs when the progesterone-to-estrogen ratio is high, such as occurs with progesterone-only contraceptive methods.
What to do about abnormal uterine bleeding in premenopausal women?
Premenopausal Women. An approach to the premenopausal woman with abnormal uterine bleeding is outlined in Figure 1. If the reproductive-age woman is not pregnant and has a normal physical examination, abnormal uterine bleeding is usually dysfunctional in nature and can be managed with hormonal therapy.
What is the difference between anovulatory and ovulatory bleeding?
OVULATORY DYSFUNCTIONAL BLEEDING. Although less common than anovulatory bleeding, ovulatory DUB may also occur. DUB in women with ovulatory cycles occurs as regular, cyclic bleeding. Menorrhagia may signify a bleeding disorder or a structural lesion, such as uterine leiomyomas, adenomyosis or endometrial polyps.
What causes estrogen breakthrough bleeding ( DUB ) in women?
The cause of DUB is usually related to one of three hormonal-imbalance conditions: estrogen breakthrough bleeding, estrogen withdrawal bleeding and progesterone breakthrough bleeding. 1 Estrogen breakthrough bleeding occurs when excess estrogen stimulates the endometrium to proliferate in an undifferentiated manner.