DYSFUNCTIONAL UTERINE BLEEDING image

DEFINITION

SIGNS AND SYMPTOMS

CARE PLAN

TREATMENT

PATHOPHYSIOLOGY

CAUSES

of recognisable pelvic pathology,

general medical disease or pregnancy

Irregular uterine bleeding that occurs in absence

Endometrial polyps

Pregnancy is also a common cause

Uterine adenomyosis

Infection of the cervix

Uterine fibroids

Cancer of the uterus

Menstrual period lasting less than 2 days

Heavy menstrual bleeding

Menstrual bleeding lasting more than 7 days

Bleeding or spotting between periods

Pelvic pain or uncomfortable pressure

Menstrual bleeding that contains a lot of clots or large clots

Endometrial ablation

Hysterectomy

Intra-Uterine Device insertion

Combined birth control pills

Non-steroidal anti-inflammatory drugs

D and C dilation and curettage

Anti-fibrinolytic tranexamic acid

and is common at the extremes of the reproductive years.

When ovulation does not occur,

a disturbance of the normal hypothalamic-pituitary-ovarian axis

no progesterone is produced to stabilize the endometrium

Anovulatory dysfunctional uterine bleeding results from,

thus, proliferative endometrium persists.

Evaluate use of any medication that can affect hemostasis eg coagulants

Review lab results for coagulation status

Monitor vital signs , BP and heart rate

Check stool and urine for occult

REFERENCES