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Dysfunctional uterine bleeding (Causes (Hormonal imbalance, Pregnancy,…
Dysfunctional uterine bleeding
Pathophysiology
During an anovulatory cycle, the corpus luteum does on form.
In ovulatory abnormal uterine bleeding, progesterone secretion is prolonged.
Irregular shedding of the endometrium results.
Oestrogen levels remain low, near the threshold for bleeding.
Causes
Hormonal imbalance
Pregnancy
Some birth control pills or intrauterine device
Thickening of the lining of the uterus
Endometrial and uterine cancer
Hormone replacement therapy after menopause
Risk factors
Age(years after puberty and before menopause)
Polycystic ovary syndrome
Endocrine disorder
other anovulatory disorders
Obesity
Diagnostic tests
Pregnancy test
Blood work shows if you have blood disorder
Ultrasound, images of the inside of the uterus
Hysteroscopy
Biopsy
Nursing management
Encourage the patient to comply with the medication to reduce discomfort and pain
Explain the importance of iron rich food to supplement iron
Explain methods of quantifying blood loss
Encourage patient to express her feeling to increase understanding of individual coping style
Signs and symptoms
Heavy menstrual bleeding that contain large clots that last more than 7 days
Breast tenderness
Nausea
Urinary frequency
Fatigue
Weight gain(polycystic ovarian syndrome)
Medical management
Hormones, birth control pills
Gonadotropin-releasing hormone agonists
NSAIDS eg ibuprofen or naproxen
Tranexamic acid
Oral iron therapy
Surgical management
Endometrial ablation
Hysterectomy
Radiotherapy
Transcervical resection
Uterine curettage