DYSFUNCTIONAL UTERINE BLEEDING 
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