DUB (Dysfunctional Uterine Bleeding)

Irregular bleeding from uterus related to hormone levels is referred as dysfunctional bleeding. If menstrual cycle is shortened to below 21 days or if it is extended to more than 35 days or if the bleeding lasts for more than 7 days, it is very annoying and can cause many problems in your life. Normal menstruation cycle period in teen is 21 to 45 days and in grown up is 21 to 35 days. In most cases, it has been found that dysfunctional uterine bleeding is not caused by any medical conditions like miscarriage, fibroids, cancer etc but is caused by changes in the hormone levels.
Your ovaries normally release one egg during every menstrual cycle. When a woman does not ovulate dysfunctional uterine bleeding is triggered.

Symptoms

Menstrual cycles lesser than or longer than normal periods.
Menstrual periods lasting more than 7 days ( Normal duration is 4 to 6 days)
Heavier bleeding than normal.
Blood loss of more than 80 ml in a menstrual period.

Diagnosis

If irregular bleeding is noticed during the last three or more periods it is better you consult a doctor about you problem. He will study the symptoms shown by you and your medical history. He will also conduct a pelvic examination.
This will be enough for preliminary diagnosis. For confirming the preliminary diagnosis your doctor may require you to undergo blood tests, urine tests and ultra sound tests. He may also take a tiny sample for biopsy purpose. With the help of all these tests he will be able to exclude all the potential causes of uterine bleeding like fibroid, cysts, or tumors and confirm his diagnosis.

Treatment options

Non steroidal anti-inflammatory drugs have been found to be extremely useful in reducing the pain and bleeding. This has to be taken 1 to 2 days before the expected date of starting of the pain. If your period date is not known it is better that you start taking it when pain or bleeding starts.

Surgical methods

There are a few surgical methods followed by surgeon to find a solution to dysfunctional uterine bleeding which are explained below.
Hysteroscopy: In this procedure a hysteroscope which is an instrument used to view the uterine cavity inserted to the uterus through vagina. Biopsies of the bleedings spotted are taken. The area of bleeding is treated with the help of a laser beam or electrocautery.
Hysterectomy: If abnormal growth of cells or cancer is detected then the method termed hysterectomy is used to remove the uterus. Hysterectomy is a major surgery which takes 4 to 8 weeks for complete recovery. Considering the requirements of the patients in some cases during hysterectomy not only uterus, but fallopian tubes and ovaries are also removed.
Endometrial ablation: This is a minimally invasive procedure used when endometrial lining is destroyed. This procedure will be suggested by the surgeon only if he finds that other surgical methods are not suitable and only if the patient does not want to become pregnant again. This is an easy procedure which takes only about 45 minutes and is usually done as an outpatient procedure.