Dysfunctional uterine bleeding (DUB)


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Normal uterine anatomy (cut section)
Normal uterine anatomy (cut section)
Alternative Names

Anovulatory bleeding; Bleeding - dysfunctional uterine; DUB


Symptoms
  • Vaginal bleeding between periods
  • Abnormal menstrual periods
  • Variable menstrual cycles (usually less than 28 days between menstrual periods)
  • Variable menstrual flow ranging from scanty to profuse
  • Infertility
  • Mood swings
  • Hot flashes
  • Vaginal tenderness
  • Hirsutism -- excessive growth of body hair in a male pattern

Signs and tests

A pelvic examination will be performed.

Tests usually include:

  • CBC
  • Serum HCG (to rule out pregnancy)
  • Thyroid function tests
  • Hormone tests 
    • Androgen levels
    • FSH (follicle-stimulating hormone)
    • LH (luteinizing hormone)
    • Prolactin
    • Progesterone
  • Blood clotting profile

The following procedures may be performed:



Review Date: 05/15/2006
Reviewed By: Melanie N. Smith, M.D., Ph.D., Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.


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